Low preoperative prealbumin predicts the prevalence of complications following liver transplantation
As a nutritional index, preoperative serum prealbumin highly correlates with surgical complications. However, the correlation between preoperative prealbumin and postoperative complications remains unclear in liver transplantation (LT). A total of 191 patients who underwent LT between 2015 and 2019...
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| Veröffentlicht in: | BMC gastroenterology 2021-05, Vol.21 (1), p.233-9, Article 233 |
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| creator | Li, Yuancheng Liu, Xingchao Jiang, Yan Wan, Kun Liu, Wei Ou, Yanjiao Bai, Jie You, Yuemei Hu, Feng Xu, Zeliang Bie, Ping Zhang, Chengcheng Zhang, Leida |
| description | As a nutritional index, preoperative serum prealbumin highly correlates with surgical complications. However, the correlation between preoperative prealbumin and postoperative complications remains unclear in liver transplantation (LT).
A total of 191 patients who underwent LT between 2015 and 2019 were included in the retrospective analysis. According to a cut-off value calculated from a receiver operating characteristic (ROC) curve, the patients were divided into normal and low preoperative prealbumin groups. Univariable and multivariable logistic regression analyses were used to identify independent risk factors for postoperative complications. In addition, patients were divided into subgroups by Model for End-stage Liver Disease (MELD) score, and the association between preoperative prealbumin and postoperative complications was also assessed in each group.
A total of 111 (58.1%) patients were included in the low prealbumin group based on a cut-off value of 120 mg/L. The area under the ROC curve (AUC) was 0.754 (95% confidence interval [CI] 0.678-0.832). Low prealbumin (95% CI 1.51-12.8, P = 0.007) was identified as a predictor for postoperative complications based on multivariable regression. In the low and normal prealbumin groups, the prevalence rates of postoperative complications were 27.5% and 8.0% (P = 0.003) in the MELD score ≤ 15 subgroup and 53.3% and 20.0% (P = 0.197) in the MELD score > 15 subgroup, respectively.
Preoperative prealbumin was associated with postoperative complications in LT, and preoperative nutritional support benefitted postoperative recovery, especially for patients with low MELD scores. |
| doi_str_mv | 10.1186/s12876-021-01818-1 |
| format | Article |
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A total of 191 patients who underwent LT between 2015 and 2019 were included in the retrospective analysis. According to a cut-off value calculated from a receiver operating characteristic (ROC) curve, the patients were divided into normal and low preoperative prealbumin groups. Univariable and multivariable logistic regression analyses were used to identify independent risk factors for postoperative complications. In addition, patients were divided into subgroups by Model for End-stage Liver Disease (MELD) score, and the association between preoperative prealbumin and postoperative complications was also assessed in each group.
A total of 111 (58.1%) patients were included in the low prealbumin group based on a cut-off value of 120 mg/L. The area under the ROC curve (AUC) was 0.754 (95% confidence interval [CI] 0.678-0.832). Low prealbumin (95% CI 1.51-12.8, P = 0.007) was identified as a predictor for postoperative complications based on multivariable regression. In the low and normal prealbumin groups, the prevalence rates of postoperative complications were 27.5% and 8.0% (P = 0.003) in the MELD score ≤ 15 subgroup and 53.3% and 20.0% (P = 0.197) in the MELD score > 15 subgroup, respectively.
Preoperative prealbumin was associated with postoperative complications in LT, and preoperative nutritional support benefitted postoperative recovery, especially for patients with low MELD scores.</description><identifier>ISSN: 1471-230X</identifier><identifier>EISSN: 1471-230X</identifier><identifier>DOI: 10.1186/s12876-021-01818-1</identifier><identifier>PMID: 34022800</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Ascites ; Complications ; Correlation analysis ; End Stage Liver Disease ; Gastroenterology ; Health aspects ; Hospitals ; Humans ; Hypertension ; Infections ; Laboratories ; Liver ; Liver diseases ; Liver Transplantation ; Liver transplants ; Malnutrition ; Measurement ; Medical records ; MELD subgroups ; Nutritional status ; Patients ; Pleural effusion ; Pneumonia ; Postoperative complications ; Prealbumin ; Preoperative prealbumin ; Prevalence ; Prognosis ; Retrospective Studies ; Risk factors ; ROC Curve ; Serum albumin ; Severity of Illness Index ; Surgery ; Surgical outcomes ; Transplantation ; Transplants & implants</subject><ispartof>BMC gastroenterology, 2021-05, Vol.21 (1), p.233-9, Article 233</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-1ad719696b66ebc2102ee0ee55be2e1f21c2dfcca84129c7825104136406c7333</citedby><cites>FETCH-LOGICAL-c563t-1ad719696b66ebc2102ee0ee55be2e1f21c2dfcca84129c7825104136406c7333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141182/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141182/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34022800$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Yuancheng</creatorcontrib><creatorcontrib>Liu, Xingchao</creatorcontrib><creatorcontrib>Jiang, Yan</creatorcontrib><creatorcontrib>Wan, Kun</creatorcontrib><creatorcontrib>Liu, Wei</creatorcontrib><creatorcontrib>Ou, Yanjiao</creatorcontrib><creatorcontrib>Bai, Jie</creatorcontrib><creatorcontrib>You, Yuemei</creatorcontrib><creatorcontrib>Hu, Feng</creatorcontrib><creatorcontrib>Xu, Zeliang</creatorcontrib><creatorcontrib>Bie, Ping</creatorcontrib><creatorcontrib>Zhang, Chengcheng</creatorcontrib><creatorcontrib>Zhang, Leida</creatorcontrib><title>Low preoperative prealbumin predicts the prevalence of complications following liver transplantation</title><title>BMC gastroenterology</title><addtitle>BMC Gastroenterol</addtitle><description>As a nutritional index, preoperative serum prealbumin highly correlates with surgical complications. However, the correlation between preoperative prealbumin and postoperative complications remains unclear in liver transplantation (LT).
A total of 191 patients who underwent LT between 2015 and 2019 were included in the retrospective analysis. According to a cut-off value calculated from a receiver operating characteristic (ROC) curve, the patients were divided into normal and low preoperative prealbumin groups. Univariable and multivariable logistic regression analyses were used to identify independent risk factors for postoperative complications. In addition, patients were divided into subgroups by Model for End-stage Liver Disease (MELD) score, and the association between preoperative prealbumin and postoperative complications was also assessed in each group.
A total of 111 (58.1%) patients were included in the low prealbumin group based on a cut-off value of 120 mg/L. The area under the ROC curve (AUC) was 0.754 (95% confidence interval [CI] 0.678-0.832). Low prealbumin (95% CI 1.51-12.8, P = 0.007) was identified as a predictor for postoperative complications based on multivariable regression. In the low and normal prealbumin groups, the prevalence rates of postoperative complications were 27.5% and 8.0% (P = 0.003) in the MELD score ≤ 15 subgroup and 53.3% and 20.0% (P = 0.197) in the MELD score > 15 subgroup, respectively.
Preoperative prealbumin was associated with postoperative complications in LT, and preoperative nutritional support benefitted postoperative recovery, especially for patients with low MELD scores.</description><subject>Ascites</subject><subject>Complications</subject><subject>Correlation analysis</subject><subject>End Stage Liver Disease</subject><subject>Gastroenterology</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Infections</subject><subject>Laboratories</subject><subject>Liver</subject><subject>Liver diseases</subject><subject>Liver Transplantation</subject><subject>Liver transplants</subject><subject>Malnutrition</subject><subject>Measurement</subject><subject>Medical records</subject><subject>MELD subgroups</subject><subject>Nutritional status</subject><subject>Patients</subject><subject>Pleural effusion</subject><subject>Pneumonia</subject><subject>Postoperative complications</subject><subject>Prealbumin</subject><subject>Preoperative prealbumin</subject><subject>Prevalence</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>ROC Curve</subject><subject>Serum albumin</subject><subject>Severity of Illness Index</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Transplantation</subject><subject>Transplants & implants</subject><issn>1471-230X</issn><issn>1471-230X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNptUk1v1DAQjRCIlsIf4IAiceGS4rEdx7kgVRUflVbiAhI3y3HGW68cO9jZrfj3eHdL6SLkg2fG7z17xq-qXgO5BJDifQYqO9EQCg0BCbKBJ9U58A4aysiPp4_is-pFzhtCoJOUPa_OGCeUSkLOq3EV7-o5YZwx6cXtcJ9oP2wnF_bh6MyS6-X2UN9pj8FgHW1t4jR7Zwolhlzb6H28c2Fd-yKR6iXpkGevw3IAvKyeWe0zvrrfL6rvnz5-u_7SrL5-vrm-WjWmFWxpQI8d9KIXgxA4GAqEIhLEth2QIlgKho7WGC050N6UXlogHJjgRJiOMXZR3Rx1x6g3ak5u0umXitqpQyGmtdJpccajAiPbnrb9YNnAUVvZA5TUIu-YoIMsWh-OWvN2mHA0GEpT_kT09CS4W7WOOyWBl9-hReDdvUCKP7eYFzW5bNCXqWDcZkVbBi0TLYUCffsPdBO3KZRRFRRnXHIp27-odfkG5YKN5V6zF1VXQhSc5KwvqMv_oMoacXImBrSu1E8I9EgwKeac0D70CETtfaaOPlPFZ-rgM7V_8ZvH03mg_DEW-w3P9c46</recordid><startdate>20210522</startdate><enddate>20210522</enddate><creator>Li, Yuancheng</creator><creator>Liu, Xingchao</creator><creator>Jiang, Yan</creator><creator>Wan, Kun</creator><creator>Liu, Wei</creator><creator>Ou, Yanjiao</creator><creator>Bai, Jie</creator><creator>You, Yuemei</creator><creator>Hu, Feng</creator><creator>Xu, Zeliang</creator><creator>Bie, Ping</creator><creator>Zhang, Chengcheng</creator><creator>Zhang, Leida</creator><general>BioMed Central Ltd</general><general>BioMed 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Jiang, Yan ; Wan, Kun ; Liu, Wei ; Ou, Yanjiao ; Bai, Jie ; You, Yuemei ; Hu, Feng ; Xu, Zeliang ; Bie, Ping ; Zhang, Chengcheng ; Zhang, Leida</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-1ad719696b66ebc2102ee0ee55be2e1f21c2dfcca84129c7825104136406c7333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Ascites</topic><topic>Complications</topic><topic>Correlation analysis</topic><topic>End Stage Liver Disease</topic><topic>Gastroenterology</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Infections</topic><topic>Laboratories</topic><topic>Liver</topic><topic>Liver diseases</topic><topic>Liver Transplantation</topic><topic>Liver transplants</topic><topic>Malnutrition</topic><topic>Measurement</topic><topic>Medical records</topic><topic>MELD subgroups</topic><topic>Nutritional status</topic><topic>Patients</topic><topic>Pleural effusion</topic><topic>Pneumonia</topic><topic>Postoperative complications</topic><topic>Prealbumin</topic><topic>Preoperative prealbumin</topic><topic>Prevalence</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>ROC Curve</topic><topic>Serum albumin</topic><topic>Severity of Illness Index</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Transplantation</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Yuancheng</creatorcontrib><creatorcontrib>Liu, Xingchao</creatorcontrib><creatorcontrib>Jiang, Yan</creatorcontrib><creatorcontrib>Wan, Kun</creatorcontrib><creatorcontrib>Liu, Wei</creatorcontrib><creatorcontrib>Ou, Yanjiao</creatorcontrib><creatorcontrib>Bai, Jie</creatorcontrib><creatorcontrib>You, Yuemei</creatorcontrib><creatorcontrib>Hu, Feng</creatorcontrib><creatorcontrib>Xu, 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Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Yuancheng</au><au>Liu, Xingchao</au><au>Jiang, Yan</au><au>Wan, Kun</au><au>Liu, Wei</au><au>Ou, Yanjiao</au><au>Bai, Jie</au><au>You, Yuemei</au><au>Hu, Feng</au><au>Xu, Zeliang</au><au>Bie, Ping</au><au>Zhang, Chengcheng</au><au>Zhang, Leida</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low preoperative prealbumin predicts the prevalence of complications following liver transplantation</atitle><jtitle>BMC gastroenterology</jtitle><addtitle>BMC Gastroenterol</addtitle><date>2021-05-22</date><risdate>2021</risdate><volume>21</volume><issue>1</issue><spage>233</spage><epage>9</epage><pages>233-9</pages><artnum>233</artnum><issn>1471-230X</issn><eissn>1471-230X</eissn><abstract>As a nutritional index, preoperative serum prealbumin highly correlates with surgical complications. However, the correlation between preoperative prealbumin and postoperative complications remains unclear in liver transplantation (LT).
A total of 191 patients who underwent LT between 2015 and 2019 were included in the retrospective analysis. According to a cut-off value calculated from a receiver operating characteristic (ROC) curve, the patients were divided into normal and low preoperative prealbumin groups. Univariable and multivariable logistic regression analyses were used to identify independent risk factors for postoperative complications. In addition, patients were divided into subgroups by Model for End-stage Liver Disease (MELD) score, and the association between preoperative prealbumin and postoperative complications was also assessed in each group.
A total of 111 (58.1%) patients were included in the low prealbumin group based on a cut-off value of 120 mg/L. The area under the ROC curve (AUC) was 0.754 (95% confidence interval [CI] 0.678-0.832). Low prealbumin (95% CI 1.51-12.8, P = 0.007) was identified as a predictor for postoperative complications based on multivariable regression. In the low and normal prealbumin groups, the prevalence rates of postoperative complications were 27.5% and 8.0% (P = 0.003) in the MELD score ≤ 15 subgroup and 53.3% and 20.0% (P = 0.197) in the MELD score > 15 subgroup, respectively.
Preoperative prealbumin was associated with postoperative complications in LT, and preoperative nutritional support benefitted postoperative recovery, especially for patients with low MELD scores.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>34022800</pmid><doi>10.1186/s12876-021-01818-1</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Springer Nature OA/Free Journals; SpringerLink Journals - AutoHoldings |
| subjects | Ascites Complications Correlation analysis End Stage Liver Disease Gastroenterology Health aspects Hospitals Humans Hypertension Infections Laboratories Liver Liver diseases Liver Transplantation Liver transplants Malnutrition Measurement Medical records MELD subgroups Nutritional status Patients Pleural effusion Pneumonia Postoperative complications Prealbumin Preoperative prealbumin Prevalence Prognosis Retrospective Studies Risk factors ROC Curve Serum albumin Severity of Illness Index Surgery Surgical outcomes Transplantation Transplants & implants |
| title | Low preoperative prealbumin predicts the prevalence of complications following liver transplantation |
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