title: Comparison of the results of liver transplantation for elective versus urgent indications.
abstract: The authors present an analysis of early and remote liver transplantation outcomes related to the presence of emergent indications among 196 of the 209 operations performed from 1989 to April 2003; namely 178 elective and 18 emergent transplantations. Perioperative mortality was 15%. The survival rate during the first 12 months was 79.8% and within 3 years 73.5% among patients operated on an elective basis (UNOS 3 and 2B). In contrast, patients with acute liver failure (UNOS 1 and 2A) showed rates of 45%, 50%, and 47%, respectively. Liver transplant outcomes depend primarily on the urgency of an operation. Longterm results are much better among patients operated on electively. Liver transplantation in patients with acute hepatic insufficiency is burdened with a high 45% mortality.
authors.affiliation: Department of General, Transplantation and Liver Surgery, Medical University of Warsaw, Warsaw, Poland.
authors.forename: K
authors.initials: K
authors.lastname: Zieniewicz
authors.forename: A
authors.initials: A
authors.lastname: Skwarek
authors.forename: P
authors.initials: P
authors.lastname: Nyckowski
authors.forename: J
authors.initials: J
authors.lastname: Pawlak
authors.forename: B
authors.initials: B
authors.lastname: Michałowicz
authors.forename: W
authors.initials: W
authors.lastname: Patkowski
authors.forename: B
authors.initials: B
authors.lastname: Najnigier
authors.forename: A
authors.initials: A
authors.lastname: Alsharabi
authors.forename: P
authors.initials: P
authors.lastname: Hevelke
authors.forename: P
authors.initials: P
authors.lastname: Remiszewski
authors.forename: P
authors.initials: P
authors.lastname: Smoter
authors.forename: K
authors.initials: K
authors.lastname: Dudek
authors.forename: M
authors.initials: M
authors.lastname: Grodzicki
authors.forename: A
authors.initials: A
authors.lastname: Paczkowska
authors.forename: U
authors.initials: U
authors.lastname: Oldakowska-Jedynak
authors.forename: M
authors.initials: M
authors.lastname: Niewczas
authors.forename: L
authors.initials: L
authors.lastname: Paczek
authors.forename: M
authors.initials: M
authors.lastname: Krawczyk
mesh_terms: D000328:Adult; D002102:Cadaver; D017558:Elective Surgical Procedures / Q000706:statistics & numerical data; D004630:Emergencies; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000401:mortality / Q000706:statistics & numerical data*; D019520:Living Donors; D008297:Male; D012086:Reoperation; D012189:Retrospective Studies; D012720:Severity of Illness Index; D015996:Survival Rate; D013997:Time Factors; D014019:Tissue Donors; D016896:Treatment Outcome