Pediatric anesthesia & critical care

Factors associated with immediate and early extubation in pediatric living‐donor liver transplant recipients

Paediatr AnaesthPublished Retrospective cohort study

Main findingResult — go to the resultAdjusted odds ratio 0.52 95% CI 0.30–0.89

Authors' conclusion

Our findings indicated that 39% of the pediatric living donor-liver transplantation patients tolerated early extubation and that the only associated factor was anhepatic time.

Study context

Population
Pediatric living-donor liver transplant recipients, January 2013 to December 2021included in the analysis
Participants
79 recipients
Exposure
Early vs delayed extubation
  • Early extubationn = 31
Outcome
Factors associated with early extubation (univariate and multivariate analyses)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Adjusted odds ratio

0.52

95% CI 0.30–0.89

P = 0.018

Events by group

Early extubation

39%

31

Shorter anhepatic time
aOR 0.52 (95% CI 0.30–0.89); P = 0.018

Per 30-min increment, as printed

Observational data: associations, not effects.

Secondary outcomes

OutcomeP value
ICU LOSShorter in the early extubation groupP = 0.001

Hospital LOS

No significant differences between the groups

Safety

OutcomeP value
Total and early medical complications; total reintubation in 30 daysDelayed extubation vs Early extubationP = 0.002
Total and early medical complications; total reintubation in 30 daysDelayed extubation vs Early extubation.044
Total and early medical complications; total reintubation in 30 daysDelayed extubation vs Early extubation.006
  • Total and early medical complications; total reintubation in 30 days: total medical complications significantly higher in delayed extubation
  • Total and early medical complications; total reintubation in 30 days: early medical complications significantly higher in delayed extubation
  • Total and early medical complications; total reintubation in 30 days: total reintubation in 30 days significantly higher in delayed extubation

Original publication

Factors associated with immediate and early extubation in pediatric living‐donor liver transplant recipients. Paediatr Anaesth. Published 5 October 2022. doi:10.1111/pan.14562

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