Qualidade de vida em receptores de transplante de fígado e a influência dos fatores sociodemográficos

OBJETIVO Verificar a influência dos fatores sociodemográficos na qualidade de vida dos pacientes depois do transplante de fígado. MÉTODO Estudo transversal, com 150 pacientes submetidos ao transplante de fígado em um centro de referência. Aplicou-se um instrumento sociodemográfico e o questionário Liver Disease Quality of Life. Foi realizada Análise de Variância (ANOVA) e comparações múltiplas pelo teste de Tukey e Games-Howell, quando pOBJECTIVE To verify the influence of sociodemographic factors on the quality of life of patients after liver transplant. METHOD Cross-sectional study with 150 patients who underwent liver transplant at a referral center. A sociodemographic instrument and the Liver Disease Quality of Life questionnaire were applied. The analysis of variance (ANOVA) was performed, as well as multiple comparisons by the Tukey test and Games-Howell tests when pOBJETIVO Verificar la influencia de los factores sociodemográficos en la calidad de vida de los pacientes después del trasplante de hígado. MÉTODO Estudio transversal, con 150 pacientes sometidos al trasplante de hígado en un centro de referencia. Se aplicó un instrumento sociodemográfico y el cuestionario Liver Disease Quality of Life. Se llevó a cabo el Análisis de la Varianza (ANOVA) y comparaciones múltiples mediante la prueba de Tukey y Games-Howell, cuando

Quality of life in liver transplant recipients and the influence of sociodemographic factors

Abstract OBJECTIVE To verify the influence of sociodemographic factors on the quality of life of patients after liver transplant. METHOD Cross-sectional study with 150 patients who underwent liver transplant at a referral center. A sociodemographic instrument and the Liver Disease Quality of Life questionnaire were applied. The analysis of variance (ANOVA) was performed, as well as multiple comparisons by the Tukey test and Games-Howell tests when p <0.05. RESULTS Old age had influence on domains of symptoms of liver disease (p = 0.049), sleep (p = 0.023) and sexual function (p = 0.03). Men showed better significant mean values than women for the loneliness dimension (p = 0.037). Patients with higher educational level had higher values for the domain of stigma of liver disease (p = 0.014). There was interference of income in the domains of quality of social interaction (p = 0.033) and stigma of the disease (p = 0.046). CONCLUSION In half of the quality of life domains, there was influence of some sociodemographic variable

Assessment of the need for routine intraoperative cell salvage in liver transplantation

ABSTRACT Purpose: This study aimed to assess the necessity of routine intraoperative cell salvage in liver transplantations. Methods: A total of 327 liver transplants performed between 2014 and 2016 was included in the analysis. Patient data, including pre-transplant examinations, intraoperative red blood cell transfusions, and procedural information, were collected. Results: The median age of the patients was 54 years old, with 67% (219) being male. The most prevalent ABO blood type was O, accounting for 48% (155) of cases. The leading causes of liver disease were hepatitis C (113 cases, 34.6%) and alcohol-related liver disease (97 cases, 29.7%). Out of the 327 liver transplants, allogeneic red blood cell transfusions were administered in 110 cases (34%) with a median of two units of red blood cells per case. Cell salvage was employed in 237 transplants (73%), and successful blood recovery was achieved in 221 cases (93%). Among the group that recovered more than 200 mL of blood, the median volume of recovered blood was 417 mL, with no transfusion of allogeneic blood required. A total of 90 transplants was performed without utilizing cell salvage, and, among these cases, 19 required blood transfusions, with a median of zero units transfused. Conclusions: This study suggests that routine cell salvage is unnecessary for all liver transplantations. The most suitable indication for its use is in patients presenting with portal vein thrombosis and abnormal creatinine levels