Research Article

Donor Small-Droplet Macrovesicular Steatosis Affects Liver Transplant Outcome in HCV-Negative Recipients

Table 1

Recipient, donor, graft, intraoperative, and early postoperative characteristics of the entire study population and according to recipient etiology of liver disease (HCV negative versus HCV positive).

All patients  
(n= 204)
HCV positive  
(n= 82)
HCV negative  
(n= 122)
P value HCV positive vs HCV negative

RECIPIENTAge (years)56.00 (49.14-61.00)57.00 (49.00-61.00)55.50 (49.75-61.25)0.510
Gender (female)49 (24.0)22 (26.8)27 (22.1)0.441
MELD score15.20 (12.26-18.65)14.73 (12.46-18.85)15.72 (11.78-18.15)0.549
BMI (kg/m2)25.46 (23.28-28.47)26.23 (23.91-28.64)25.06 (23.04-28.34)0.184
HCC (yes vs no)78 (38.2)32 (39.0)46 (37.7)0.849

DONORAge (years)50.50 (33.25-64.00)48.00 (31.00-65.00)51.00(34.00-64.00)0.703
Gender (female)84 (41.2)32 (39.0)52 (42.6)0.609
BMI (kg/m2)24.83 (23.44-27.06)24.69 (23.44-26.15)25.39 (23.61-27.34)0.131
Cause of death  
(non trauma vs trauma)
132 (65.7)50 (61)82 (68.9)0.244
ALT (IU/L)33.00 (18.00-58.50)33.00 (18.00-59.00)32.50 (17.75-58.50)0.562
AST (IU/L)37.50 (25.00-70.50)45.50 (24.00-83.00)36.00 (25.00-58.50)0.174
Sodium (mEq/L)149.00 (142.25-157.00)150.00 (142.00-157.00)149.00 (144.00-157.00)0.804
Hemoglobin (gr/dL)10.50 (9.30-12.20)10.40 (9.00-11.90)10.70 (9.50-12.30)0.440
PaO2 (mmHg)150.50 (102.93-202.08)148.90 (111.50-217.50)151.00 (98.00-198.00)0.776
Anti-HBc status (pos vs neg)18 (8.8)3 (3.7)15 (12.3)0.043
Norepinephrine (yes vs no)98 (49.0)33 (40.7)65 (54.6)0.054
ICU stay (days)3.00 (2.00-7.00)3.00 (2.00-6.00)4.00 (2.00-8.00)0.113

GRAFTSd-MaS categorical, n (%):
0%118 (57.8)49 (59.8)69 (56.6)0.613
1-15%52 (25.5)18 (22.0)34 (27.9)
>15%34 (16.7)15 (18.3)19 (15.6)
Sd-MaS, continuous variable  
(% of hepatocytes)
0.00 (0.00-5.00)0.00 (0.00-10.00)0.00 (0.00-5.00)0.969
Ld-MaS categorical, n (%):
0% (reference)88 (43.1)39 (47.6)49 (40.2)0.530
1-15%92 (45.1)35 (42.7)57 (46.7)
>15%24 (11.8)8 (9.8)16 (13.1)
Ld-MaS, continuous variable   
(% of hepatocytes)
2.00 (0.00-9.00)1.00 (0.00-5.00)2.00 (0.00-10.00)0.245
Cold ischemia time (minutes)361.00 (280.75-415.00)357.50 (270.00-421.25)362.50 (298.25-410.00)0.606
Warm ischemia time (minutes)60.00 (47.50-77.75)60.00 (45.75-87.75)60.00 (48.50-75.00)0.316
IRI score, categorical§   
(severe vs mild/moderate)
40 (29.9)19 (34.5)21 (26.6)0.322
IPGF (yes vs no)37 (18.3)15 (18.5)22 (18.2)0.952
EAD (yes vs no)112 (54.9)48 (58.5)64 (52.5)0.392
Transplant year6.00 (3.00-8.75)5.00 (3.00-7.00)6.00 (3.00-9.00)0.105

MELD, model for end-stage liver disease score; HCC, hepatocellular carcinoma; PaO2, partial pressure of oxygen in arterial blood; ICU, intensive care unit; Sd-MaS, small droplet macrovesicular steatosis; Ld-MaS, large droplet macrovesicular steatosis; IRI, histological ischemia/reperfusion injury; IPGF, initial poor graft function; EAD, early allograft dysfunction. Continuous variable is expressed as median (25th-75th percentile); the differences between groups were evaluated by Mann-Whitney U test or T test according to the variable normality. Categorical variables were expressed as count (percentages) and compared by the chi-square or Fisher’s exact test.
§Available in only 55 and 79 recipients with HCV positive and negative liver disease, respectively.