Risk factors for mortality after surgery in patients with cirrhosis.
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...Preoperative coagulopathies are common in heart failure patients due to hepatic dysfunction and the use of anti-coagulant or anti-platelet medications.(40) When possible, these medications should be stopped prior to implant....
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Cites background from "Risk factors for mortality after su..."
...In these patients, multiple organ failure as reflected by an American Society for Anesthesia score of V was the only variable associated with 7 day postoperative mortality.(11) Because of limited prospective data from the East, a consensus working definition of “ACLF” that serves at this time only to identify patients from whom data are to be collected to...
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...The AASLD/EASL consensus proposed a period of increased mortality risk of 3 months based on data on ACLF that develops in patients with compensated cirrhosis undergoing major surgery.(11) Cirrhotic patients may develop rapid hepatic decompensation and then multiple organ failure after surgery; most patients develop infections before death....
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...Median age, y 63 61 64 62.5 64 63.5 65 67 60.5 Median MELD score 8 8 7 8 7.5 7 6 10 8 ASA class IV or Vf 142 ( 18 ) 55 (24) 6 (4) 31 (30) 14 (13) 7 (14) 3 (5) 17 (41) 9 (24) Men 430 (56) 123 (53) 89 (64) 46 (45) 62 (55) 28 (56) 24 (42) 31 (76) 27 (71) Etiology of cirrhosis...
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...Alcoholic 182 (24) 56 (24) 26 (19) 28 (27) 14 (13) 24 (48) 14 (25) 12 (29) 8 (21) Viral 141 (18) 28 (12) 46 (33) 16 (16) 18 (16) 7 (14) 11 (19) 8 (20) 7 (18) Cholestatic 142 ( 18 ) 51 (22) 17 (12) 21 (21) 22 (20) 9 (18) 13 (23) 5 (12) 4 (11) Other 307 (40) 98 (42) 50 (36) 37 (36) 58 (52) 10 (20) 19 (33) 16 (39) 19 (50)...
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...Alcoholic 182 (24) 56 (24) 26 (19) 28 (27) 14 (13) 24 (48) 14 (25) 12 (29) 8 (21) Viral 141 (18) 28 (12) 46 (33) 16 (16) 18 (16) 7 (14) 11 (19) 8 (20) 7 ( 18 ) Cholestatic 142 (18) 51 (22) 17 (12) 21 (21) 22 (20) 9 (18) 13 (23) 5 (12) 4 (11) Other 307 (40) 98 (42) 50 (36) 37 (36) 58 (52) 10 (20) 19 (33) 16 (39) 19 (50)...
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...Alcoholic 182 (24) 56 (24) 26 (19) 28 (27) 14 (13) 24 (48) 14 (25) 12 (29) 8 (21) Viral 141 ( 18 ) 28 (12) 46 (33) 16 (16) 18 (16) 7 (14) 11 (19) 8 (20) 7 (18) Cholestatic 142 (18) 51 (22) 17 (12) 21 (21) 22 (20) 9 (18) 13 (23) 5 (12) 4 (11) Other 307 (40) 98 (42) 50 (36) 37 (36) 58 (52) 10 (20) 19 (33) 16 (39) 19 (50)...
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...Alcoholic 182 (24) 56 (24) 26 (19) 28 (27) 14 (13) 24 (48) 14 (25) 12 (29) 8 (21) Viral 141 (18) 28 (12) 46 (33) 16 (16) 18 (16) 7 (14) 11 (19) 8 (20) 7 (18) Cholestatic 142 (18) 51 (22) 17 (12) 21 (21) 22 (20) 9 ( 18 ) 13 (23) 5 (12) 4 (11) Other 307 (40) 98 (42) 50 (36) 37 (36) 58 (52) 10 (20) 19 (33) 16 (39) 19 (50)...
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...5 7 6 10 8 ) 14 (13) 7 (14) 3 (5) 17 (41) 9 (24) ) 62 (55) 28 (56) 24 (42) 31 (76) 27 (71)...
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