Ventilatory support and hospital stay after liver transplant in cirrhotic patients with hepatopulmonary syndrome

Detalhes bibliográficos
Autor(a) principal: Pereira,José Leonardo Faustini
Data de Publicação: 2017
Outros Autores: Galant,Lucas Homercher, Garcia,Eduardo, Rosa,Luis Henrique Telles da, Brandão,Ajácio Bandeira de Mello, Marroni,Cláudio Augusto
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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spelling 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)
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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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