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Sarcopenia is a prognostic factor in living donor liver transplantation
Liver transplantation, 2014-04, Vol.20 (4), p.401-407
Masuda, Toshiro
Shirabe, Ken
Ikegami, Toru
Harimoto, Norifumi
Yoshizumi, Tomoharu
Soejima, Yuji
Uchiyama, Hideaki
Ikeda, Tetsuo
Baba, Hideo
Maehara, Yoshihiko
2014
Details
Autor(en) / Beteiligte
Masuda, Toshiro
Shirabe, Ken
Ikegami, Toru
Harimoto, Norifumi
Yoshizumi, Tomoharu
Soejima, Yuji
Uchiyama, Hideaki
Ikeda, Tetsuo
Baba, Hideo
Maehara, Yoshihiko
Titel
Sarcopenia is a prognostic factor in living donor liver transplantation
Ist Teil von
Liver transplantation, 2014-04, Vol.20 (4), p.401-407
Ort / Verlag
United States: Wiley Subscription Services, Inc
Erscheinungsjahr
2014
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
The aims of this study were to investigate sarcopenia as a novel predictor of mortality and sepsis after living donor liver transplantation (LDLT) and to evaluate the effects of early enteral nutrition on patients with sarcopenia. Two hundred four patients undergoing preoperative computed tomography within the month before LDLT were retrospectively evaluated. The lengths of the major and minor axes of the psoas muscle were simply measured at the caudal end of the third lumbar vertebra, and the area of the psoas muscle was calculated. A psoas muscle area lower than the 5th percentile for healthy donors of each sex was defined as sarcopenia. Ninety‐six of the 204 patients (47.1%), including 58.3% (60/103) of the male patients and 35.6% (36/101) of the female patients, were diagnosed with sarcopenia. Sarcopenia was independently and significantly associated with overall survival: there was an approximately 2‐fold higher risk of death for patients with sarcopenia versus patients without sarcopenia (hazard ratio = 2.06, P = 0.047). Sarcopenia was an independent predictor of postoperative sepsis (hazard ratio = 5.31, P = 0.009). Other independent predictors were a younger recipient age (P < 0.001) and a higher body mass index (P = 0.02). Early enteral nutrition within the first 48 hours after LDLT was performed for 24.2% in 2003‐2007 and for 100% in 2008‐2011, and the incidence of postoperative sepsis for patients with sarcopenia (n = 96) was 28.2% (11/39) in 2003‐2007 and 10.5% (6/57) in 2008‐2011 (P = 0.03). In conclusion, sarcopenia is an independent predictor of mortality and sepsis after LDLT. The incidence of postoperative sepsis was reduced even in patients with sarcopenia after the routine application of early enteral nutrition. Liver Transpl 20:401–407, 2014. © 2013 AASLD.
Sprache
Englisch
Identifikatoren
ISSN: 1527-6465
eISSN: 1527-6473
DOI: 10.1002/lt.23811
Titel-ID: cdi_proquest_miscellaneous_1510401065
Format
–
Schlagworte
Adult
,
Aged
,
Body Mass Index
,
Enteral Nutrition
,
Female
,
Humans
,
Liver Transplantation - methods
,
Living Donors
,
Male
,
Middle Aged
,
Postoperative Period
,
Prognosis
,
Proportional Hazards Models
,
Psoas Muscles - pathology
,
Retrospective Studies
,
Risk Factors
,
Sarcopenia - diagnosis
,
Sarcopenia - pathology
,
Sarcopenia - physiopathology
,
Sepsis - mortality
,
Sepsis - physiopathology
,
Tomography, X-Ray Computed
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