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Hepatopulmonary Syndrome is a respiratory complication of liver cirrhosis defined as a triad: hypoxemia (PaO2 < 80 mmHg in room air), chronic liver disease and intrapulmonary vasodilatations. Its prevalence varies between 4 and 32%. Numerous treatments have been tried but the only efficient therapy to cure the syndrome is liver transplantation. Without transplantation it is associated with a higher mortality which is the reason why hepatopulmonary syndrome patients have a higher priority to transplantation. However it appears in some restricted studies that hepatopulmonary syndrome is associated with more postoperative complications (infections, vascular and biliary complications, prolonged length of mechanical ventilation…).
The investigators hypothesised that hepatopulmonary syndrome patients have more postoperative complications after liver transplantation than non hepatopulmonary syndrome patients matched on age, MELD (Model for End-Stage Liver Disease) score, comorbidities, perioperative transfusion and noradrenaline doses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| hepatic transplant patients with hepatopulmonary syndrome | |||
| hepatic transplant patients without hepatopulmonary syndrome |
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| Measure | Description | Time Frame |
|---|---|---|
| Postoperative complication rates in hepatic transplant patients with or without hepatopulmonary syndrome | Collection of medical (cardiac, pulmonary, renal, infectious, neurological) and Surgical (vascular, digestive) complications in hepatic transplant patients with or without hepatopulmonary syndrome | 1 year post liver transplantation |
| Measure | Description | Time Frame |
|---|---|---|
| Length of Mechanical Ventilation | 1 year post liver transplantation | |
| Length of ICU stay | 1 year post liver transplantation | |
| Length of Hospital Stay |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who underwent liver transplantation between 2010 and 2016
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| ID | Term |
|---|---|
| D020065 | Hepatopulmonary Syndrome |
| D008103 | Liver Cirrhosis |
| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| 1 year post liver transplantation |
| Delay of hepatopulmonary syndrome resolution | 1 year post liver transplantation |
| D005355 |
| Fibrosis |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |