Research Article

Pretransplant Factors and Associations with Postoperative Respiratory Failure, ICU Length of Stay, and Short-Term Survival after Liver Transplantation in a High MELD Population

Table 3

Univariate and multivariate analysis of ICU LOS.

ICU LOS > 3 days (  )
UnivariateMultivariate
VariableβOR95% CIβOR95% CI

Age at transplant
> 65 years
−0.200.820.620.37–1.83
Inpatient status prior to transplant0.651.950.040.100–4.04−2.400.110.450.01–30.04
BMI > 30 kg/m20.011.010.770.95–1.07
Large volume ascites0.201.220.660.50–2.94
Pretransplant MELD0.221.25<0.011.16–1.330.251.280.001.15–1.42
Preoperative respiratory failureNANANANA
Smoking history positive−0.120.890.730.46–1.73
Kidney transplant0.031.030.970.30–3.51
Heart failure0.341.410.060.99–2.001.434.160.340.23–76.36
Diastolic dysfunction0.702.010.050.100–4.04−2.490.080.400.01–28.04
Left ventricular
EF < 50%
0.912.490.460.22–27.98
FEV1/FVC0.611.830.390.47–7.20
FVC < 80%0.692.620.051.01–6.79−3.310.040.040.01–0.86
FEV1 < 80%1.323.76<0.011.46–9.703.6136.880.021.89–719.14
Donor gender (male)−0.250.780.450.41–1.48
Deceased (versus living) donor0.671.950.070.96–3.960.531.700.370.54–5.41
Warm ischemic time
> 40 minutes
−0.240.790.450.17–1.72
Cold ischemic time
> 240 minutes
0.852.340.041.08–3.601.695.390.070.85–34.12
Recipient CMV IgG−0.160.850.640.44–1.66
Packed red blood cell transfusion > 6 units0.071.540.490.75–1.27

OR: odds ratio; 95% CI: 95% confidence interval; BMI: body mass index; MELD: Model for End Stage Liver Disease; EF: ejection fraction; FEV1: forced expiratory volume in one second; FVC: forced vital capacity; CMV: cytomegalovirus.