Yıl: 2020 Cilt: 31 Sayı: 11 Sayfa Aralığı: 782 - 789 Metin Dili: İngilizce DOI: 10.5152/tjg.2020.18761 İndeks Tarihi: 28-05-2021

Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation

Öz:
Background/Aims: An increased post-operative mortality risk has been reported among patients who undergo living donor liver transplantation (LDLT) with higher model for end-stage liver disease (MELD) scores. In this study, we investigated the effect of MELD score reduction on post-operative outcomes in patients with a high MELD (≥20) score by pre-transplant management. Materials and Methods: We retrospectively analyzed 386 LDLT cases, and patients were divided into low-MELD (<20, n=293) vs. highMELD (≥20, n=93) groups according to their MELD score at the time of index hospitalization. Patients in the high-MELD group were managed specifically according to a treatment algorithm in an effort to decrease the MELD score. Patients in the high-MELD group were further divided into 2 subgroups: (1) responders (n=34) to pre-transplant treatment with subsequent reduction of the MELD score by a minimum of 1 point vs. (2) non-responders (n=59), whose MELD score remained unchanged or further increased on the day of LDLT. Responders vs. non-responders were compared according to etiology, demographics, and survival.
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APA ACAR S, AKYILDIZ M, Gurakar A, Tokat Y, DAYANGAC M (2020). Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation. , 782 - 789. 10.5152/tjg.2020.18761
Chicago ACAR SENCAN,AKYILDIZ MURAT,Gurakar Ahmet,Tokat Yaman,DAYANGAC MURAT Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation. (2020): 782 - 789. 10.5152/tjg.2020.18761
MLA ACAR SENCAN,AKYILDIZ MURAT,Gurakar Ahmet,Tokat Yaman,DAYANGAC MURAT Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation. , 2020, ss.782 - 789. 10.5152/tjg.2020.18761
AMA ACAR S,AKYILDIZ M,Gurakar A,Tokat Y,DAYANGAC M Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation. . 2020; 782 - 789. 10.5152/tjg.2020.18761
Vancouver ACAR S,AKYILDIZ M,Gurakar A,Tokat Y,DAYANGAC M Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation. . 2020; 782 - 789. 10.5152/tjg.2020.18761
IEEE ACAR S,AKYILDIZ M,Gurakar A,Tokat Y,DAYANGAC M "Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation." , ss.782 - 789, 2020. 10.5152/tjg.2020.18761
ISNAD ACAR, SENCAN vd. "Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation". (2020), 782-789. https://doi.org/10.5152/tjg.2020.18761
APA ACAR S, AKYILDIZ M, Gurakar A, Tokat Y, DAYANGAC M (2020). Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation. Turkish Journal of Gastroenterology, 31(11), 782 - 789. 10.5152/tjg.2020.18761
Chicago ACAR SENCAN,AKYILDIZ MURAT,Gurakar Ahmet,Tokat Yaman,DAYANGAC MURAT Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation. Turkish Journal of Gastroenterology 31, no.11 (2020): 782 - 789. 10.5152/tjg.2020.18761
MLA ACAR SENCAN,AKYILDIZ MURAT,Gurakar Ahmet,Tokat Yaman,DAYANGAC MURAT Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation. Turkish Journal of Gastroenterology, vol.31, no.11, 2020, ss.782 - 789. 10.5152/tjg.2020.18761
AMA ACAR S,AKYILDIZ M,Gurakar A,Tokat Y,DAYANGAC M Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation. Turkish Journal of Gastroenterology. 2020; 31(11): 782 - 789. 10.5152/tjg.2020.18761
Vancouver ACAR S,AKYILDIZ M,Gurakar A,Tokat Y,DAYANGAC M Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation. Turkish Journal of Gastroenterology. 2020; 31(11): 782 - 789. 10.5152/tjg.2020.18761
IEEE ACAR S,AKYILDIZ M,Gurakar A,Tokat Y,DAYANGAC M "Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation." Turkish Journal of Gastroenterology, 31, ss.782 - 789, 2020. 10.5152/tjg.2020.18761
ISNAD ACAR, SENCAN vd. "Delta MELD as a predictor of early outcome in adult-to-adultliving donor liver transplantation". Turkish Journal of Gastroenterology 31/11 (2020), 782-789. https://doi.org/10.5152/tjg.2020.18761