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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.1
- 수록면
- 69 - 74 (6page)
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Background: Postoperative mechanical ventilation in liver transplant patient has an important role for reducing respiratory complications and multi-organ failure in intensive care unit (ICU). Yet there are no specific indications for predicting the duration of postoperative mechanical ventilation. Thus, we evaluated the correlation between the duration of mechanical ventilation and scoring systems such as the Acute Physiology and Chronic health Evaluation (APACHE) II score, the Sequential Organ Failure Assessment (SOFA) score, the Model for End-stage Liver Disease (MELD) score and the risk index. Methods: We retrospectively studied 183 patients who underwent living donor liver transplantation and we divided them into three groups based on the duration of mechanical ventilation: Group 1: ＜8 hr, Group 2: 8-12 hr and Group 3: ＞12 hr. We analyzed the correlation coefficients among the duration of mechanical ventilation, the risk index, and the SOFA, APACHE II and MELD scores. Results: The MELD and preoperative SOFA scores were significantly higher in group 3 (p=0.003, p=0.027). The MELD and SOFA scores were correlated with the duration of mechanical ventilation for all the patients (correlation coefficient=0.22, 0.20, p=0.003, 0.007, respectively). Yet the APACHE II score shows no correlation. Conclusions: We found that the MELD and SOFA scores were correlated with the duration of mechanical ventilation in liver transplant patients. Thus, these scoring systems may be useful to determine the duration of mechanical ventilation.
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참고문헌 (21)
참고문헌 신청
Carton EG / 1994 / Perioperative care of the liver transplant patient: part 2 / Anesth Analg 78 : 382 ~ 399
Choi JH / 2003 / Evaluation of usefulness of perioperative risk factors which affect early or delayed extubation after liver transplantation / Korean J Anesthesiology 44 : 8
Cholingitas E / 2006 / Review article: scoring systems for assessing prognosis in critically ill adult cirrhotics / Aliment Pharmacol Ther 24 : 453 ~ 464
Cholongitas E / 2006 / Risk factors, sequential organ failure assessment and model for end-stage liver disease scores for predicting short term mortality in cirrhotic patien
Gardia S / 1998 / Infection and associated risk factors in the immediate postoperative period of pediatric liver transplantation: a study of 176 transplants / Clin Transplan
Choi JH / 2003 / Evaluation of usefulness of perioperative risk factors which affect early or delayed extubation after liver transplantation / Korean J Anesthesiology 44 : 8
Cholingitas E / 2006 / Review article: scoring systems for assessing prognosis in critically ill adult cirrhotics / Aliment Pharmacol Ther 24 : 453 ~ 464
Cholongitas E / 2006 / Risk factors, sequential organ failure assessment and model for end-stage liver disease scores for predicting short term mortality in cirrhotic patien
Gardia S / 1998 / Infection and associated risk factors in the immediate postoperative period of pediatric liver transplantation: a study of 176 transplants / Clin Transplan
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