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dc.contributor.authorVictor W. Xiaen_US
dc.contributor.authorA. Worapoten_US
dc.contributor.authorS. Huangen_US
dc.contributor.authorA. Dhillonen_US
dc.contributor.authorV. Gudzenkoen_US
dc.contributor.authorA. Backonen_US
dc.contributor.authorV. G. Agopianen_US
dc.contributor.authorO. Aksoyen_US
dc.contributor.authorG. Vorobiofen_US
dc.contributor.authorR. W. Busuttilen_US
dc.contributor.authorR. H. Steadmanen_US
dc.contributor.otherDavid Geffen School of Medicine at UCLAen_US
dc.contributor.otherMahidol Universityen_US
dc.contributor.otherMinistry of Health of People's Republic of Chinaen_US
dc.identifier.citationAmerican Journal of Transplantation. Vol.15, No.3 (2015), 687-694en_US
dc.description.abstractCopyright © 2015 The American Society of Transplantation and the American Society of Transplant Surgeons. Postoperative atrial fibrillation (POAF) is common after major surgeries and is associated with increased morbidity and mortality. POAF after liver transplantation (LT) has not been reported. This study was undertaken to investigate the incidence, impact, and risk factors of POAF in LT patients. After IRB approval, LT between January 2006 and August 2013 at our center were retrospectively reviewed. POAF that occurred within 30 days after LT was included. Patients with and without POAF were compared and independent risk factors were identified by logistic regression. Of 1387 adults LT patients, 102 (7.4%) developed POAF during the study period. POAF was associated with significantly increased mortality, graft failure, acute kidney injury and prolonged hospital stay. Independent risk factors included age, body weight, MELD score, presence of previous history of AF, the vasopressors use prior to LT and pulmonary artery diastolic pressure at the end of LT surgery (odds ratios 2.0-7.2, all p < 0.05). A risk index of POAF was developed and patients with the high-risk index had more than 60% chance of developing POAF. These findings may be used to stratify patients and to guide prophylaxis for POAF in the posttransplant period.en_US
dc.rightsMahidol Universityen_US
dc.titlePostoperative atrial fibrillation in liver transplantationen_US
Appears in Collections:Scopus 2011-2015

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