Increased model for end-stage liver disease score at the time of liver transplant results in prolonged hospitalization and overall intensive care unit costs

2010 ◽  
Vol 16 (5) ◽  
pp. 668-677 ◽  
Author(s):  
Matthew R. Foxton ◽  
Mohammad A. B. Al-Freah ◽  
Andrew J. Portal ◽  
Elizabeth Sizer ◽  
William Bernal ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Liver Disease ◽  
Liver Transplant ◽  
Disease Score ◽  
End Stage Liver Disease ◽  
Unit Costs ◽  
Prolonged Hospitalization ◽  
End Stage

scholarly journals THE COST OF ADULT LIVER TRANSPLANTATION IN A REFERRAL CENTER IN SOUTHERN BRAZIL

2019 ◽  
Vol 56 (2) ◽  
pp. 165-171 ◽  
Author(s):  
Adriane B de SOUZA ◽  
Santiago RODRIGUEZ ◽  
Fábio Luís da MOTTA ◽  
Ajacio B de Mello BRANDÃO ◽  
Claudio Augusto MARRONI
Keyword(s):  
Intensive Care Unit ◽  
Liver Transplantation ◽  
Intensive Care ◽  
Liver Disease ◽  
Southern Brazil ◽  
Referral Center ◽  
End Stage Liver Disease ◽  
End Stage ◽  
The Cost ◽  
Surgical Unit

ABSTRACT BACKGROUND: Liver transplantation (LTx) is the primary and definitive treatment of acute or chronic cases of advanced or end-stage liver disease. Few studies have assessed the actual cost of LTx categorized by hospital unit. OBJECTIVE: To evaluate the cost of LTx categorized by unit specialty within a referral center in southern Brazil. METHODS: We retrospectively reviewed the medical records of 109 patients undergoing LTx between April 2013 and December 2014. Data were collected on demographic characteristics, etiology of liver disease, and severity of liver disease according to the Child-Turcotte-Pugh (CTP) and Model for End-stage Liver Disease (MELD) scores at the time of LTx. The hospital bill was transformed into cost using the full absorption costing method, and the costs were grouped into five categories: Immediate Pretransplant Kit; Specialized Units; Surgical Unit; Intensive Care Unit; and Inpatient Unit. RESULTS: The mean total LTx cost was US$ 17,367. Surgical Unit, Specialized Units, and Intensive Care Unit accounted for 31.9%, 26.4% and 25.3% of the costs, respectively. Multivariate analysis showed that total LTx cost was significantly associated with CTP class C (P=0.001) and occurrence of complications (P=0.002). The following complications contributed to significantly increase the total LTx cost: septic shock (P=0.006), massive blood transfusion (P=0.007), and acute renal failure associated with renal replacement therapy (dialysis) (P=0.005). CONCLUSION: Our results demonstrated that the total cost of LTx is closely related to liver disease severity scores and the development of complications.

Improving the predictive ability of the pediatric end‐stage liver disease score for young children awaiting liver transplant

2020 ◽  
Vol 21 (1) ◽  
pp. 222-228 ◽  
Author(s):  
Evelyn Hsu ◽  
David P. Schladt ◽  
Andrew Wey ◽  
Emily R. Perito ◽  
Ajay K. Israni
Keyword(s):  
Liver Disease ◽  
Young Children ◽  
Liver Transplant ◽  
Predictive Ability ◽  
Disease Score ◽  
End Stage Liver Disease ◽  
End Stage

scholarly journals Liver transplantation in patients with end-stage liver disease requiring intensive care unit admission and intubation

2015 ◽  
Vol 21 (10) ◽  
pp. 1331-1332 ◽  
Author(s):  
Eric Levesque ◽  
Moez Khemiss ◽  
Zaid Noorah ◽  
Cyrille Feray ◽  
Daniel Azoulay ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Liver Transplantation ◽  
Intensive Care ◽  
Liver Disease ◽  
Intensive Care Unit Admission ◽  
End Stage Liver Disease ◽  
End Stage

scholarly journals Multiple Regional Listing Increases Liver Transplant Rates for Those With Model for End-stage Liver Disease Score <15

2020 ◽  
Vol 104 (4) ◽  
pp. 762-769 ◽  
Author(s):  
Sara Brown ◽  
Yulia Savva ◽  
Rolf Barth ◽  
John LaMattina ◽  
Paul J. Thuluvath
Keyword(s):  
Liver Disease ◽  
Liver Transplant ◽  
Disease Score ◽  
End Stage Liver Disease ◽  
End Stage

Elective Liver Transplant List Mortality: Development of a United Kingdom End-Stage Liver Disease Score

2011 ◽  
Vol 92 (4) ◽  
pp. 469-476 ◽  
Author(s):  
Kerri Barber ◽  
Susanna Madden ◽  
Joanne Allen ◽  
Dave Collett ◽  
James Neuberger ◽  
...  
Keyword(s):  
United Kingdom ◽  
Liver Disease ◽  
Liver Transplant ◽  
Disease Score ◽  
End Stage Liver Disease ◽  
End Stage

The effect of changes of model for end-stage liver disease score during waiting time on post-liver transplant mortality

2011 ◽  
Vol 6 (2) ◽  
pp. 491-497 ◽  
Author(s):  
Mohammad A. B. Al-Freah ◽  
Edward J. Gane ◽  
Vicki Livingstone ◽  
John McCall ◽  
Stephen Munn
Keyword(s):  
Liver Disease ◽  
Liver Transplant ◽  
Waiting Time ◽  
Disease Score ◽  
End Stage Liver Disease ◽  
End Stage
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