Complicaciones asociadas a la hiperglucemia en pacientes trasplantados de hígado

Builes, Carlos; Montoya, Julián Felipe; Londoño, Carolina; Bayona, Karen Lorena Palacios; Restrepo-Gutiérrez, Juan Carlos; Restrepo, Johnayro Gutiérrez; Toro, Clara María Arango; Jaimes, Fabián

doi:10.1016/j.rgmx.2014.08.002

Cited by 7 publications

(2 citation statements)

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“…12 In their study, BuilesMontaño et al encountered hyperglycemia in 94% of patients in the first 48 h after liver transplantation, but this condition was not associated with a greater risk for rejection, infections, or longer hospital stay. 13 These results contradict those previously described, as analyzed by Vilatobá Chapa in his editorial, and could be related to the retrospective nature of the study or to the cut-off point the authors utilized (> 140 mg/dl) for determining hyperglycemia; 12,13 this merits further investigation.…”

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confidence: 69%

The year 2014 in the Revista de Gastroenterología de México

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2014

Revista de Gastroenterología de México (English Edition)

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confidence: 69%

The year 2014 in the Revista de Gastroenterología de México

W.¹

2014

Revista de Gastroenterología de México (English Edition)

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“…hyperglycemia during the first 48 hours after liver transplantation was not associated with a higher risk for infection, rejection, and longer hospital stay. [19] Similarly in study by Tsai et al . no differences between diabetic and nondiabetic recipients were noted in terms of the incidence major infections.…”

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confidence: 96%

Preoperative glycated haemoglobin level and postoperative morbidity and mortality in patients scheduled for liver transplant

Parveez

Ponnappan

Tandon

et al. 2019

Indian J Endocr Metab

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Background:There is high prevalence of diabetes mellitus in patients of end stage liver disease and it has been implicated for complications in post-transplant patients. Glycated hemoglobin is now targeted as a modifiable preoperative risk factors for postoperative complications. Data describing the course and severity of postoperative liver transplant complication and their relation with pre-operative glycated hemoglobin level is sparse. In this study, we looked for co-relation between the preoperative HbA1c level and post-operative mortality and morbidity in patients scheduled for liver transplant.Materials and Methods:Retrospective data in 400 adult patients operated for liver transplant were retrieved. After exclusion, data were analyzed for 224 patients. Patients were divided into two groups on the basis of glycated hemoglobin levels (Group 1 (HbA1C ≥6.5) and Group 2 (HbA1C <6.5)).Results:Glycated hemoglobin levels were not associated with postoperative death during stay in intensive care unit, incidence of postoperative cardiovascular, renal, and central nervous complications. No difference was seen between 2 groups for need for renal replacement therapy, incidence of infections, rejection, need for re-exploration surgery and duration of intensive care unit and hospital stay. Glycated hemoglobin cannot predict 30 day survival (Area under curve {AUC} = 0.629, P value 0.05).Conclusion:Preoperative glycated hemoglobin level is not associated with postoperative morbidity and mortality in patients scheduled for liver transplant.Trial Registration Number:CTRI/2018/04/012966.

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Intensified blood glucose treatment in diabetic patients undergoing a liver transplant: impact on graft evolution at 3 months and at 5 years

Ramos-Prol

Hervás‐Marín

Rodríguez-Medina

et al. 2017

J Endocrinol Invest

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Complicaciones asociadas a la hiperglucemia en pacientes trasplantados de hígado

Abstract: Hyperglycemia during the first 48hours after transplantation appeared to be an expected phenomenon in the majority of patients and was not associated with a greater risk for rejection or infection and it had no impact on the duration of hospital stay.

Cited by 7 publications

References 51 publications

The year 2014 in the Revista de Gastroenterología de México

The year 2014 in the Revista de Gastroenterología de México

Preoperative glycated haemoglobin level and postoperative morbidity and mortality in patients scheduled for liver transplant

Intensified blood glucose treatment in diabetic patients undergoing a liver transplant: impact on graft evolution at 3 months and at 5 years

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