期刊
JOURNAL OF CLINICAL MEDICINE
卷 10, 期 12, 页码 -出版社
MDPI
DOI: 10.3390/jcm10122729
关键词
liver transplantation; early allograft dysfunction; uric acid; reperfusion injury; oxidative stress; uric acid therapy; antioxidant
资金
- Chang Gung Memorial Hospital [CMRPG3K1881, CMRPG3H1191, CMRPG3H11912, CMRPG3H1193]
This study found that preoperative serum uric acid level is associated with early allograft dysfunction (EAD), with lower uric acid levels being linked to higher incidence and risk of EAD. This provides a new predictor for evaluating EAD and may have a protective effect against EAD development.
Early allograft dysfunction (EAD) is a postoperative complication that may cause graft failure and mortality after liver transplantation. The objective of this study was to examine whether the preoperative serum uric acid (SUA) level may predict EAD. We performed a prospective observational study, including 61 donor/recipient pairs who underwent living donor liver transplantation (LDLT). In the univariate and multivariate analysis, SUA <= 4.4 mg/dL was related to a five-fold (odds ratio (OR): 5.16, 95% confidence interval (CI): 1.41-18.83; OR: 5.39, 95% CI: 1.29-22.49, respectively) increased risk for EAD. A lower preoperative SUA was related to a higher incidence of and risk for EAD. Our study provides a new predictor for evaluating EAD and may exert a protective effect against EAD development.
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