dc.contributor.author | Acar, Sencan | |
dc.contributor.author | Akyıldız, Murat | |
dc.contributor.author | Gürakar, Ahmet | |
dc.contributor.author | Tokat, Yaman | |
dc.contributor.author | Dayangaç, Murat | |
dc.date.accessioned | 2021-01-14T12:49:33Z | |
dc.date.available | 2021-01-14T12:49:33Z | |
dc.date.issued | 2020 | en_US |
dc.identifier.citation | Acar, S., Akyıldız, M., Gürakar, A., Tokat, Y. ve Dayangaç, M. (2020). Delta MELD as a predictor of early outcome in adult-to-adult living donor liver transplantation. Turkish Journal of Gastroenterology, 31(11), 782-789. https://dx.doi.org/10.5152/tjg.2020.18761 | en_US |
dc.identifier.issn | 1300-4948 | |
dc.identifier.issn | 2148-5607 | |
dc.identifier.uri | https://dx.doi.org/10.5152/tjg.2020.18761 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12511/6252 | |
dc.description.abstract | Background/Alms: 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. high-MELD (>= 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 I 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. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | AVES | en_US |
dc.rights | info:eu-repo/semantics/embargoedAccess | en_US |
dc.subject | Living Donor Liver Transplant | en_US |
dc.subject | MELD Change | en_US |
dc.subject | Survival | en_US |
dc.title | Delta MELD as a predictor of early outcome in adult-to-adult living donor liver transplantation | en_US |
dc.type | article | en_US |
dc.relation.ispartof | Turkish Journal of Gastroenterology | en_US |
dc.department | İstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı | en_US |
dc.authorid | 0000-0002-1240-7233 | en_US |
dc.identifier.volume | 31 | en_US |
dc.identifier.issue | 11 | en_US |
dc.identifier.startpage | 782 | en_US |
dc.identifier.endpage | 789 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.identifier.doi | 10.5152/tjg.2020.18761 | en_US |
dc.identifier.wosquality | Q4 | en_US |
dc.identifier.scopusquality | Q3 | en_US |