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العنوان
PROGNOSTIC FACTORS EARLY AFTER LIVER TRANSPLANTATION /
المؤلف
Ibrahim, Yasmin Sayed Mohammed.
هيئة الاعداد
باحث / ياسمين سيد محمد إبراهيم
مشرف / أحمد يوسف القاضي
مناقش / هالة هاني السعيد
مناقش / فتحية قرني محمد
الموضوع
Prognostics and System Health Management Conference.
تاريخ النشر
2016.
عدد الصفحات
103 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
العلوم الزراعية والبيولوجية
تاريخ الإجازة
15/2/2016
مكان الإجازة
جامعة الفيوم - كلية العلوم - قسم الكيمياء
الفهرس
Only 14 pages are availabe for public view

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Abstract

To retrospectively review adult LDLT patients at the National Liver Institute, from December 2003 to 2010 with special interest in diagnostic factors associated with renal failure, detect possible factors early allograft dysfunction and try to explore a simple and accurate model to predict prognosis of these patients.
Methods: After local ethics committee approval, the demographics, blood transfusion requirments, anaesthetic records, complications and laboratory data of the patients were analyzed. Comparisons and correlations between factors were made and survival analysis was done.
Results: This study was conducted on 73 patients. Mean age of 46.04 + 10.58 years. with survival rate 58% and mortality rate was 42%. MELD score of 15.72 + 2.92. Blood transfusion requirements of 6.88 + 7.167. ICU stay of 7.86 + 3.13 days Mean lactate intra-operative of 57.98 + 35.44 and decrease after operation. Mean lactate postoperative first day of 37.74 + 30.37 and mean lactate postoperative third day of 16.80 + 24.79.
- No significant correlation between INR, creatinine, bilirubin and blood transfusion units also no significant correlation between calculated MELD and each of age and ICU stay of the patients.
- High significant positive correlation between preoperative mean serum level of creatinine and both mean serum level of creatinine postoperative first and third day.
- No significant correlation between calculated MELD and both of postoperative mean serum level of creatinine first and third days.
- There was a high significant positive correlation between preoperative bilirubin and preoperative AST.
- High significant positive correlation between lactate postoperative (first and third day) and lactate intraoperative.
- Meanwhile, there was a significant negative correlation between albumin postoperative (first and third) day and lactate intraoperative.
- There was a significant negative correlation between albumin postoperative third day and lactate postoperative third day.
- Meanwhile, there was a highly significant positive correlation between albumin postoperative third day and albumin postoperative first day.