@article{ijcd2021914,
author={Vasavada, Bhavin},
title={In a Time of Pandemic: Predictors for Post-transplant Respiratory Complications},
journal={International Journal of Celiac Disease},
volume={9},
number={1},
pages={12--15},
year={2021},
url={http://pubs.sciepub.com/ijcd/9/1/4},
issn={2334-3486},
abstract={<i>Introduction</i>: Biliary atresia is commonly associated with malnutrition and failure to thrive. Very few studies have been published on the impact of preoperative malnutrition on post-transplant outcomes in these children. <i>Material and Methods</i>: 110 children underwent living donor liver transplantation from January 2003 to March 2013. Pre-transplant malnutrition was defined according to z scores for the weight for age and height for age as per who definition. Patients having both Z score of &lt; -2 were compared with the control group. Statistical analysis was done using SPSS version 21 (IBM). <i>Results</i>: 39 children out of 110 were having z score for the weight for age &lt; -2. There was no statistical difference between PELD score, graft weight, GRWR, intraoperative blood loss between to groups. 22 out of 39 patients in malnourished group developed clavein grade 3, grade 4 complications and 32 patients out of 71 in the control group developed clavien grade 3 grade 4 complications. (p= 0.318). The overall mortality rate was 4.5% and mortality rates in the malnourished vs control group were respectively 7.69% and 2.81% (p= 0.278). A total of 14 patients developed postoperative pulmonary complications. Pulmonary complications were significantly high in the malnourished group. p=0.003. <i>Conclusion</i>: Preoperative malnutrition is associated with a high postoperative pulmonary complication rate in liver transplantation for biliary atresia.},
doi={10.12691/ijcd-9-1-4}
publisher={Science and Education Publishing}
}