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Background <p>Liver transplantation is a complex procedure associated with significant post-operative challenges. Monitoring the frequency and timing of Emergency Department (ED) visits post-transplant in a vulnerable population like pediatrics can provide critical insights into patient outcomes and the effectiveness of post-operative care.</p> Objective <p>This study aims to evaluate the indications, frequency, reasons and length of stay for ED visits among liver transplant recipients within the first year following discharge post-transplantation.</p> Methods <p>A retrospective observational study was conducted on 361 liver transplant recipients, analyzing the frequency, timing, indications, reasons and length of stay for their ED visits post-discharge over 10 years.</p> Results <p>361 patients were analyzed in this study with a total of 1300 emergency department visits. (52%) of the patients were males and (48%) were females. Most transplants were from living donors (93%, <i>N</i> = 338). Patients with at least one comorbidity accounted for 35% of total patients with hypertension 6% (20), congenital heart disease 5% (<i>n</i> = 18), and seizure disorder 4% (<i>n</i> = 15) representing the most common comorbidities. Most common indications for liver transplant were biliary atresia (21%) and progressive familiar intrahepatic cholestasis (20%). The most common reasons for ED visits were gastrointestinal symptoms (32%), pulmonary symptoms (22%), and infectious symptoms (16%). Patients’ average length of stay in the hospital was 4 ± 10.7 days. Visits within the first 6 months accounted for 58% of total visits in the first year with first and second visits accounting for 47% of total emergency department visits.</p> Conclusion <p>The study highlights the high frequency of emergency department visits in pediatric subgroup as well the first 6 months as a critical period for follow-up. The study also demonstrated the continuous representation to the emergency department which calls for a closer follow-up and interventions to prevent those revisits.</p> Clinical trial number <p>Not applicable.</p>

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Characterization of emergency department visits in pediatric patients within first year of liver transplantation: ten years experience in tertiary care center

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月5日

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  • Reem Elmokattaf,
  • Ahmad Aljumaa,
  • Majd Alani,
  • Jihad Aljumaa,
  • Nayef Latta,
  • Hossam Ali Basha,
  • Ahmed Mohamed Elhassan,
  • Ismail A. Abdullah,
  • Mohammad Aljumaa,
  • Saleh M. Al-Yahri,
  • Farooq Pasha

摘要

Background

Liver transplantation is a complex procedure associated with significant post-operative challenges. Monitoring the frequency and timing of Emergency Department (ED) visits post-transplant in a vulnerable population like pediatrics can provide critical insights into patient outcomes and the effectiveness of post-operative care.

Objective

This study aims to evaluate the indications, frequency, reasons and length of stay for ED visits among liver transplant recipients within the first year following discharge post-transplantation.

Methods

A retrospective observational study was conducted on 361 liver transplant recipients, analyzing the frequency, timing, indications, reasons and length of stay for their ED visits post-discharge over 10 years.

Results

361 patients were analyzed in this study with a total of 1300 emergency department visits. (52%) of the patients were males and (48%) were females. Most transplants were from living donors (93%, N = 338). Patients with at least one comorbidity accounted for 35% of total patients with hypertension 6% (20), congenital heart disease 5% (n = 18), and seizure disorder 4% (n = 15) representing the most common comorbidities. Most common indications for liver transplant were biliary atresia (21%) and progressive familiar intrahepatic cholestasis (20%). The most common reasons for ED visits were gastrointestinal symptoms (32%), pulmonary symptoms (22%), and infectious symptoms (16%). Patients’ average length of stay in the hospital was 4 ± 10.7 days. Visits within the first 6 months accounted for 58% of total visits in the first year with first and second visits accounting for 47% of total emergency department visits.

Conclusion

The study highlights the high frequency of emergency department visits in pediatric subgroup as well the first 6 months as a critical period for follow-up. The study also demonstrated the continuous representation to the emergency department which calls for a closer follow-up and interventions to prevent those revisits.

Clinical trial number

Not applicable.