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Journals / Haseki Tıp Bülteni / 2021 / Cilt: 59 - Sayı: 4

The Impact of Body Mass Index on Intraoperative Blood Loss, Blood Transfusion and Fluid Management in Patients Undergoing Liver Transplantation: A Retrospective Analysis from a Tertiary Referral Center

Tumay Uludag YANARAL
Pelin KARAASLAN
Pages
302–307
DOI
—
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⚡ TL;DR(Too Long; Didn't Read)

Preoperative mean international normalized ratio and prothrombin time were significantly higher inunderweight patients than others (p=0.025).Conclusion: LT can be performed safely in patients with different BMI with similar blood loss and transfusion rates.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Some parameters affecting intraoperative bleeding have been investigated, but there is not enough data on body mass index(BMI) and bleeding in liver transplantation (LT).
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Key Findings & Data:We aimed to evaluate the relationship between the pretransplant BMI of recipients andblood loss, blood product transfusion, and fluid replacement during LT.Methods: In this retrospective cross-sectional study, patients aged ≥18 years who underwent LT between April 2014 and June 2020were analyzed.
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Conclusion & Impact:Preoperative mean international normalized ratio and prothrombin time were significantly higher inunderweight patients than others (p=0.025).Conclusion: LT can be performed safely in patients with different BMI with similar blood loss and transfusion rates.
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Özet

Aim: Some parameters affecting intraoperative bleeding have been investigated, but there is not enough data on body mass index(BMI) and bleeding in liver transplantation (LT). We aimed to evaluate the relationship between the pretransplant BMI of recipients andblood loss, blood product transfusion, and fluid replacement during LT.Methods: In this retrospective cross-sectional study, patients aged ≥18 years who underwent LT between April 2014 and June 2020were analyzed. Patients 30 in Group 4). Groups were compared according to operative hemodynamics, blood loss, bloodtransfusion, and fluid management-related parameters.Results: Two hundred and sixteen patients were included in the study. The mean blood loss was higher in obese patients than inothers, but it was not statistically significant. The mean red blood cell, fresh frozen plasma, platelet, and cryoprecipitate transfusionswere similar for the groups. The mean IV crystalloid fluid amount gradually shortened from underweight to obese patients but therewas no significant difference. Preoperative mean international normalized ratio and prothrombin time were significantly higher inunderweight patients than others (p=0.025).Conclusion: LT can be performed safely in patients with different BMI with similar blood loss and transfusion rates.

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Cite This Article

YANARAL, T. U., KARAASLAN, P. (2021). The Impact of Body Mass Index on Intraoperative Blood Loss, Blood Transfusion and Fluid Management in Patients Undergoing Liver Transplantation: A Retrospective Analysis from a Tertiary Referral Center. Haseki Tıp Bülteni, Cilt: 59 - Sayı: 4, 302–307. https://ajindex.com/articles/347928

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References (14)

  1. Pandey CK, Singh A, Kajal K, et al. Intraoperative blood loss in orthotopic liver transplantation: The predictive factors. World J Gastrointest Surg 2015;7:86-93
  2. Wang M, Chen M, Ao H, Chen S, Wang Z. The Effects of Different BMI on Blood Loss and Transfusions in Chinese Patients Undergoing Coronary Artery Bypass Grafting. Ann Thorac Cardiovasc Surg 2017;23:83-90
  3. Villavicencio A, Lee Nelson E, Rajpal S, Vivek N, Burneikiene S. The impact of BMI on operating room time, blood loss, and hospital stay in patients undergoing spinal fusion. Clin Neurol Neurosurg 2019;179:19-22
  4. Higuera-de-la-Tijera F, Córdova-Gallardo J, Buganza-Torio E, et al. Hepamet Fibrosis Score in Nonalcoholic Fatty Liver Disease Patients in Mexico: Lower than Expected Positive Predictive Value. Dig Dis Sci 2021;11
  5. World Health Organization. Obesity and overweight. Available from: https://www.who.int/news-room/fact-sheets/detail/ obesity-and-overweight (accessed March 2021)
  6. Spengler EK, O'Leary JG, Te HS, et al. Liver Transplantation in the Obese Cirrhotic Patient. Transplantation 2017;101:2288- 96
  7. Conzen KD, Vachharajani N, Collins KM, et al. Morbid obesity in liver transplant recipients adversely affects longterm graft and patient survival in a single-institution analysis. HPB (Oxford) 2015;17:251-7
  8. Nishikawa H, Enomoto H, Nishiguchi S, Iijima H. Sarcopenic Obesity in Liver Cirrhosis: Possible Mechanism and Clinical Impact. Int J Mol Sci 2021;22:1917
  9. LaMattina JC, Foley DP, Fernandez LA, et al. Complications associated with liver transplantation in the obese recipient. Clin Transplant 2012;26:910-8
  10. Hotouras A, Ribas Y, Zakeri SA, et al. The influence of obesity and body mass index on the outcome of laparoscopic colorectal surgery: a systematic literature review. Colorectal Dis 2016;18:O337-O66
  11. Muelleman T, Shew M, Muelleman RJ, et al. Obesity Does Not Increase Operative Time in Otologic Surgery: An Analysis of 5125 Cases. Otol Neurotol 2018;39:e103-e7
  12. Hillingsø JG, Wettergren A, Hyoudo M, Kirkegaard P. Obesity increases mortality in liver transplantation--the Danish experience. Transpl Int 2005;18:1231-5
  13. Sawyer RG, Pelletier SJ, Pruett TL. Increased early morbidity and mortality with acceptable long-term function in severely obese patients undergoing liver transplantation. Clin Transplant 1999;13:126-30
  14. Nair S, Cohen DB, Cohen MP, Tan H, Maley W, Thuluvath PJ. Postoperative morbidity, mortality, costs, and long-term survival in se