Research Article

Orthotopic Liver Transplantation in Human-Immunodeficiency-Virus-Positive Patients in Germany

Table 1

Demographic data and clinical characteristics of all 32 HIV-positive patients who received a liver graft between July 1997 and July 2011 in Germany.

Age (median (IQR))47 37–52
Gender (male/female) 31: 01
Risk of HIV infection ( (%))(a)
 Blood products13/30 (43%)
 Homo/heterosexual9/30 (30%)
 Intravenous drug abuse6/30 (20%)
 Unknown2/30 (7%)
CD4 count (Cell/ L) (median (IQR))(a)266/ L 197–370
 CD4 count >200 ( (%))22/31 (71%)
 CD4 count >100 ( (%))7/31 (23%)
 CD4 count <100 ( (%))2/31 (6%)
Plasma HIV RNA (<50 copies/mL) ( (%))(a)16/31 (52%)
Antiretroviral therapy before OLT ( (%))(a)
 PI-based regimen17/31 (55%)
 Efavirenz-based regimen6/31 (19%)
 Efavirenz and Kaletra1/31 (3%)
 3 NRTI4/31 (13%)
 No ART3/31 (10%)
Antiretroviral therapy after OLT ( (%))(a)
 PI-based regimen17/30 (57%)
 Efavirenz-based regimen3/30 (10%)
 Efavirenz and Kaletra1/30 (3%)
 3 NRTI6/30 (20%)
 No ART3/30 (10%)
Reasons for OLT
 HCV coinfection19 (1 ETOH, 5 HCC)
 HCV+HBV coinfection1 (1 HCC)
 HBV coinfection10 (1 ETOH, 1 HCC)
 HBV+HCV+HDV coinfection1
 Budd-Chiari syndrome1
Child-Pugh score and Meld score at the day of OLT(a)
 Child-Pugh class A ( (%))5/30 (17%)
 Child-Pugh class B ( (%))7/30 (23%)
 Child-Pugh class C ( (%))18/30 (60%)
 Meld (median (IQR))(a)17 13–29]
Ascites prior to OLT(a)14/29 (48%)
Hepatic encephalopathy prior to OLT(a)8/29 (28%)
Variceal hemorrhage prior to OLT(a)4/29 (14%)

PI: protease inhibitor; NRTI: nucleoside/nucleotide reverse transcriptase inhibitor; ETOH: alcoholic cirrhosis; HCC: hepatocellular carcinoma; HCV: hepatitis C; HBV: hepatitis B; HDV: hepatitis D.
(a)Information was not available for all patients.