title: [Criteria for and results of liver transplantation in patients with acute liver insufficiency].
abstract: OBJECTIVE
  Evaluation of the results of emergency liver transplantation in patients with acute liver failure.
  
  
  METHODS
  Analysis of 25 patients with acute liver failure.
  
  
  METHODS
  University Hospital Rotterdam Dijkzigt.
  
  
  METHODS
  Twenty-five patients with acute liver failure were admitted to the Intensive Care Unit in January 1989-May 1993. Patients were selected for emergency liver transplantation according to the Clichy criteria (presence of confusion or coma and factor V activity less than 20-30%).
  
  
  RESULTS
  Liver transplantation was indicated in 17 patients and performed in 13. The 1-year survival rate in patients with a liver transplant was 85%. Four patients with an indication for liver transplantation, but who could not be transplanted died. All 8 patients without an indication for emergency liver transplantation survived.
  
  
  CONCLUSIONS
  Survival after liver transplantation for acute hepatic failure is now about 80%; the Clichy criteria appear to be helpful in selecting patients with acute hepatic failure for liver transplantation.
authors.affiliation: Afd. Inwendige Geneeskunde, Academisch Ziekenhuis Rotterdam-Dijkzigt.
authors.forename: H J
authors.initials: HJ
authors.lastname: Metselaar
authors.forename: H W
authors.initials: HW
authors.lastname: Tilanus
authors.forename: J N
authors.initials: JN
authors.lastname: Ijzermans
authors.forename: T N
authors.initials: TN
authors.lastname: Groenland
authors.forename: B
authors.initials: B
authors.lastname: van den Berg
authors.forename: S W
authors.initials: SW
authors.lastname: Schalm
mesh_terms: D000293:Adolescent; D000328:Adult; D000075202:Contraindications; D005260:Female; D006801:Humans; D017114:Liver Failure, Acute / Q000145:classification* / Q000601:surgery* / Q000628:therapy; D016031:Liver Transplantation / Q000401:mortality; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011379:Prognosis
vernacular_title: Criteria voor en resultaten van levertransplantatie bij patiënten met acute leverinsufficiëntie.