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Liver transplantation in the Intensive Care Unit: twenty years experience in a center medium income on Peru.

Overview of attention for article published in Revista de Gastroenterología del Perú, December 2021
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Title
Liver transplantation in the Intensive Care Unit: twenty years experience in a center medium income on Peru.
Published in
Revista de Gastroenterología del Perú, December 2021
DOI 10.47892/rgp.2021.414.1231
Pubmed ID
Authors

Carmen Ana Cerron Cabezas, Rosa Luz Lopez Martinez, Gino Lopez Martinez, Pedro Martin Padilla Machaca, Bertha Eliana Cardenas Ramirez, Wilmer Bacilio Calderon, Omar Mantilla Cruzatti, Jose Rivera Romani, Alfonso Solar Peche, Augudberto Montufar Valer, Saul Espinoza Rivera, Carlos Felix Rondon Leyva, Jose Carlos Chaman Ortiz

Abstract

Liver transplantation is the major treatment for end-stage liver disease. Postoperative care is a great challenge to reduce morbidity and mortality in patients. In this sense, management in the liver ICU allows hemodynamic management, coagulation monitoring, renal support, electrolyte disturbances, respiratory support and early weaning from mechanical ventilation and evaluation of the liver graft. The present study shows the results of the management of liver transplant patients in 20 years of experience in a transplant center in a low- to middle-income country. The medical records of 273 adult patients in the ICU in the immediate postoperative liver transplant were reviewed, from March 20, 2000 to November 30, 2020, including the effect of the pandemic caused by COVID-19. Liver-kidney, retransplanted, SPLIT, and domino transplant patients were excluded. The most frequent etiology for LTx was NASH (35%), the mean age was 49 years, MELD Score ranged 15 - 20 (47.5%), 21 - 30 (46%) > 30 (6.2%). ICU pre transplant stay 7%, average ICU stay: 7.8 days. APACHE average admission: 14.9 points. Weaning extubation of 91.8% patients in ICU and Fast Track in 8.2%. The most frequent respiratory complication was atelectasis 56.3%, pneumonia (31.3%); AKI 1 (60.9%), and 11.1% with hemodyalisis support (AKI3). Immunosuppression: Tacrolimus (8.9%). Post-operative ICU mortality was 6.2%. The management of liver transplantation in the ICU is essential to achieve optimal results in patients who present advanced liver disease and require advanced life support in the immediate postoperative period and thus optimize graft survival.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 17 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 17 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 3 18%
Researcher 2 12%
Student > Doctoral Student 2 12%
Unspecified 1 6%
Other 1 6%
Other 0 0%
Unknown 8 47%
Readers by discipline Count As %
Medicine and Dentistry 3 18%
Environmental Science 1 6%
Unspecified 1 6%
Nursing and Health Professions 1 6%
Biochemistry, Genetics and Molecular Biology 1 6%
Other 0 0%
Unknown 10 59%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 May 2022.
All research outputs
#20,673,680
of 25,392,582 outputs
Outputs from Revista de Gastroenterología del Perú
#54
of 123 outputs
Outputs of similar age
#387,406
of 514,918 outputs
Outputs of similar age from Revista de Gastroenterología del Perú
#3
of 8 outputs
Altmetric has tracked 25,392,582 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 123 research outputs from this source. They receive a mean Attention Score of 1.3. This one is in the 33rd percentile – i.e., 33% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 514,918 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 14th percentile – i.e., 14% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 5 of them.