Association between surgical volumes and hospital mortality in patients: a living donor liver transplantation single center experience

Many factors cause hospital mortality (HM) after liver transplantation (LT). We performed a retrospective research in a single center from October 2005 to June 2019. The study included 463 living donor LT patients. They were divided into a no-HM group (n = 433, 93.52%) and an HM group (n = 30, 6.48%...

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Bibliographic Details
Published in:BMC gastroenterology 2021-05, Vol.21 (1), p.228-228, Article 228
Main Authors: Hsieh, Chia-En, Hsu, Ya-Lan, Lin, Kuo-Hua, Lin, Ping-Yi, Hung, Yu-Ju, Lai, Yi-Chun, Weng, Li-Chueh, Chen, Yao-Li
Format: Article
Language:English
Subjects:
Abdomen
ABO system
Age
Angioplasty
Blood groups
Complication
Disease prevention
Gastroenterology
Hemorrhage
Hospital mortality
Hospital patients
Hospital size
Intensive care
Length of stay
Liver
Liver transplantation
Liver transplants
Living donor liver transplantation
Mortality
Multivariate analysis
Nosocomial infections
Patients
Risk factors
Statistical analysis
Statistics
Surgery
Surgical outcomes
Surgical volumes
Thrombosis
Transplantation
Veins & arteries
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Summary:Many factors cause hospital mortality (HM) after liver transplantation (LT). We performed a retrospective research in a single center from October 2005 to June 2019. The study included 463 living donor LT patients. They were divided into a no-HM group (n = 433, 93.52%) and an HM group (n = 30, 6.48%). We used logistic regression analysis to determine how clinical features and surgical volume affected HM. We regrouped patients based on periods of surgical volume and analyzed the clinical features. Multivariate analysis revealed that donor age (OR = 1.050, 95% CI 1.011-1.091, p = 0.012), blood loss (OR = 1.000, 95% CI 1.000-1.000, p = 0.004), and annual surgical volumes being 
ISSN:1471-230X
1471-230X
DOI:10.1186/s12876-021-01732-6