When is it safe for the liver donor to be discharged home and prevent unnecessary re-hospitalizations? - A systematic review of the literature and expert panel recommendations.
Alessandra MazzolaGabriella PittauSuk Kyun HongSrinath ChinnakotlaHans-Michael TautenhahnDaniel G MalufUtz SettmacherMichael SpiroDimitri Aristotle RaptisAli JafarianDaniel CherquiPublished in: Clinical transplantation (2022)
Monitoring and prevention of donor complications should be crucial in decision making of discharge. Pain and diet control, removal of all drains and catheters, deep venous thrombosis prophylaxis and use routine imaging (CT scan or liver ultrasound) before discharge should be included as fit for discharge checklist(QoE; Low | GRADE of recommendation; Strong). Transient Impaired liver function (defined by elevated bilirubin and INR), a prognostic marker of outcome after liver resection, usually occurs after donor right hepatectomy and should be monitored. Improving trends for bilirubin and INR value should be observed by day 5 post hepatectomy and be included in the fit for discharge checklist. (QoE; Very-Low | GRADE; Strong). This article is protected by copyright. All rights reserved.
Keyphrases
- low grade
- high grade
- clinical practice
- computed tomography
- decision making
- chronic pain
- magnetic resonance imaging
- high resolution
- healthcare
- physical activity
- risk factors
- pain management
- liver metastases
- image quality
- positron emission tomography
- contrast enhanced
- dual energy
- mass spectrometry
- cerebral ischemia
- fluorescence imaging