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- W4385187934 abstract "Background and Aim: Liver transplantation (LT) offers definitive treatment for acute on chronic liver failure (ACLF) patients. This study was done to analyze and compare the outcomes of living donor LT(LDLT) in patients with ACLF versus Chronic liver disease (CLD) and within the grades of ACLF. Factors affecting mortality in patients with ACLF and ACLF grade3 (ACLF3) following LDLT were also derived. Methods: Records of adult LDLT between 1/2/2017 and 30/9/2021 were analysed. ACLF was classified based on EASL-CLIF definition. Post-transplant outcomes of ACLF were compared with CLD and within ACLF grades. Post LDLT mortality predictors were identified in ACLF and ACLF3 patients. Results: Out of 853 patients who had LT in that period; 704 patients with CLD and 103 with ACLF [of which 54 (52.4%) had ACLF3] underwent LDLT. The one month and one-year post LDLT mortality was 8.81% and 9.8% in CLD; 19.42% and 31.06% in ACLF; and 25.9% and 38.89% in ACLF3 respectively. On log regression analysis, use of grafts from older donors and pre-operative respiratory failure in recipients was associated with poor survival in ACLF, while respiratory failure was a predictor of poor survival in ACLF3 following LDLT. Conclusion: Outcomes following LDLT are poorer in ACLF as compared to after CLD. Higher donor age and preoperative respiratory failure with PF Ratio<200 was associated with poor survival post LDLT in ACLF and ACLF3." @default.
- W4385187934 created "2023-07-25" @default.
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- W4385187934 date "2023-01-01" @default.
- W4385187934 modified "2023-09-26" @default.
- W4385187934 title "Living Donor Liver Transplant in Acute on Chronic Liver Failure: who not to transplant" @default.
- W4385187934 doi "https://doi.org/10.1016/j.jceh.2023.07.120" @default.
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