Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndrome
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300322 |
Resumo: | ABSTRACT Objective To compare mechanical ventilation time, need for non-invasive ventilation, length of intensive care unit stay, and hospital stay after liver transplant in cirrhotic patients with and with no diagnosis of hepatopulmonary syndrome. Methods This was a prospective cohort study with a convenience sample of 178 patients (92 with hepatopulmonary syndrome) who were diagnosed as alcoholic or hepatitis C virus cirrhosis. The statistical analysis included Kolmogorov-Smirnov test and Students t test. Data were analyzed using SPSS version 16.0, and p values <0.05 were considered significant. Results Out of 178 patients, 90 underwent transplant (48 with no hepatopulmonary syndrome). The Group diagnosed with Hepatopulmonary Syndrome had longer mechanical ventilation time (19.5±4.3 hours versus 12.5±3.3 hours; p=0.02), an increased need for non-invasive ventilation (12 versus 2; p=0.01), longer intensive care unit stay (6.7±2.1 days versus 4.6±1.5 days; p=0.02) and longer hospital stay (24.1±4.3 days versus 20.2±3.9 days; p=0.01). Conclusion Cirrhotic patients Group diagnosed with Hepatopulmonary Syndrome had higher mechanical ventilation time, more need of non-invasive ventilation, as well as longer intensive care unit and hospital stay. |
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Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndromeLiver cirrhosis/etiologyHepatopulmonary syndrome/complicationsRespiration, artificialLength of stayNoninvasive ventilationIntensive care unitsABSTRACT Objective To compare mechanical ventilation time, need for non-invasive ventilation, length of intensive care unit stay, and hospital stay after liver transplant in cirrhotic patients with and with no diagnosis of hepatopulmonary syndrome. Methods This was a prospective cohort study with a convenience sample of 178 patients (92 with hepatopulmonary syndrome) who were diagnosed as alcoholic or hepatitis C virus cirrhosis. The statistical analysis included Kolmogorov-Smirnov test and Students t test. Data were analyzed using SPSS version 16.0, and p values <0.05 were considered significant. Results Out of 178 patients, 90 underwent transplant (48 with no hepatopulmonary syndrome). The Group diagnosed with Hepatopulmonary Syndrome had longer mechanical ventilation time (19.5±4.3 hours versus 12.5±3.3 hours; p=0.02), an increased need for non-invasive ventilation (12 versus 2; p=0.01), longer intensive care unit stay (6.7±2.1 days versus 4.6±1.5 days; p=0.02) and longer hospital stay (24.1±4.3 days versus 20.2±3.9 days; p=0.01). Conclusion Cirrhotic patients Group diagnosed with Hepatopulmonary Syndrome had higher mechanical ventilation time, more need of non-invasive ventilation, as well as longer intensive care unit and hospital stay.Instituto Israelita de Ensino e Pesquisa Albert Einstein2017-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300322einstein (São Paulo) v.15 n.3 2017reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/s1679-45082017ao4081info:eu-repo/semantics/openAccessPereira,José Leonardo FaustiniGalant,Lucas HomercherGarcia,EduardoRosa,Luis Henrique Telles daBrandão,Ajácio Bandeira de MelloMarroni,Cláudio Augustoeng2017-10-26T00:00:00Zoai:scielo:S1679-45082017000300322Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2017-10-26T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndrome |
title |
Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndrome |
spellingShingle |
Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndrome Pereira,José Leonardo Faustini Liver cirrhosis/etiology Hepatopulmonary syndrome/complications Respiration, artificial Length of stay Noninvasive ventilation Intensive care units |
title_short |
Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndrome |
title_full |
Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndrome |
title_fullStr |
Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndrome |
title_full_unstemmed |
Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndrome |
title_sort |
Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndrome |
author |
Pereira,José Leonardo Faustini |
author_facet |
Pereira,José Leonardo Faustini Galant,Lucas Homercher Garcia,Eduardo Rosa,Luis Henrique Telles da Brandão,Ajácio Bandeira de Mello Marroni,Cláudio Augusto |
author_role |
author |
author2 |
Galant,Lucas Homercher Garcia,Eduardo Rosa,Luis Henrique Telles da Brandão,Ajácio Bandeira de Mello Marroni,Cláudio Augusto |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Pereira,José Leonardo Faustini Galant,Lucas Homercher Garcia,Eduardo Rosa,Luis Henrique Telles da Brandão,Ajácio Bandeira de Mello Marroni,Cláudio Augusto |
dc.subject.por.fl_str_mv |
Liver cirrhosis/etiology Hepatopulmonary syndrome/complications Respiration, artificial Length of stay Noninvasive ventilation Intensive care units |
topic |
Liver cirrhosis/etiology Hepatopulmonary syndrome/complications Respiration, artificial Length of stay Noninvasive ventilation Intensive care units |
description |
ABSTRACT Objective To compare mechanical ventilation time, need for non-invasive ventilation, length of intensive care unit stay, and hospital stay after liver transplant in cirrhotic patients with and with no diagnosis of hepatopulmonary syndrome. Methods This was a prospective cohort study with a convenience sample of 178 patients (92 with hepatopulmonary syndrome) who were diagnosed as alcoholic or hepatitis C virus cirrhosis. The statistical analysis included Kolmogorov-Smirnov test and Students t test. Data were analyzed using SPSS version 16.0, and p values <0.05 were considered significant. Results Out of 178 patients, 90 underwent transplant (48 with no hepatopulmonary syndrome). The Group diagnosed with Hepatopulmonary Syndrome had longer mechanical ventilation time (19.5±4.3 hours versus 12.5±3.3 hours; p=0.02), an increased need for non-invasive ventilation (12 versus 2; p=0.01), longer intensive care unit stay (6.7±2.1 days versus 4.6±1.5 days; p=0.02) and longer hospital stay (24.1±4.3 days versus 20.2±3.9 days; p=0.01). Conclusion Cirrhotic patients Group diagnosed with Hepatopulmonary Syndrome had higher mechanical ventilation time, more need of non-invasive ventilation, as well as longer intensive care unit and hospital stay. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300322 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300322 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1679-45082017ao4081 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.15 n.3 2017 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
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1752129908823293952 |