Outcomes of retransplantation after initial living donor liver transplantation (LDLT) are poorly understood. The aim of this study is to better understand the indications, timing and outcomes of retransplantation after initial LDLT when compared to after initial deceased donor transplantation (DDLT). From 2002-2013, 209 retransplant recipients after initial LDLT and 2,893 after initial DDLT were identified in OPTN/UNOS. Multivariable logistic models evaluated the association between initial transplant type and 1-year mortality. The most frequent reason for early graft failure (≤14 days) in LDLT recipients was vascular thrombosis (63.6%) vs primary graft failure in initial DDLT recipients (59.1%). LDLT recipients were more often acutely and/or critically ill with a greater proportion of Status 1 (42.6% vs 27.3%; p<0.001) and intensive care unit (52.2% vs 39.9%; p=0.001) recipients at the time of retransplantation. There was no difference in adjusted 1-year mortality between retransplant recipients after initial LDLT vs DDLT (OR 0.74; 95% CI 0.51-1.08). The proportion of recipients who ultimately required retransplantation for a third time was not different between the two groups (4.8%). Retransplantation outcomes after LDLT are not different than other retransplant procedures, despite recipients having greater acuity of illness and different indications. This article is protected by copyright. All rights reserved.
Pharmacology, Toxicology and Pharmaceutical Science
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Business, Management and Accounting
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Attention Score in Context
Attention Score in Context
This research output has an Altmetric Attention Score of 2. 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 06 September 2016.
All research outputs
#15,516,483
of 25,371,288 outputs
Outputs from American Journal of Transplantation
#3,329
of 5,058 outputs
Outputs of similar age
#184,580
of 327,131 outputs
Outputs of similar age from American Journal of Transplantation
#72
of 116 outputs
Altmetric has tracked 25,371,288 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 5,058 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.2. 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 327,131 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 116 others from the same source and published within six weeks on either side of this one. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.
