Organ support & nutrition

Impact of differential glycemic management goals in pre-anhepatic and anhepatic phase on early grafted liver function after liver transplantation: An open-label, randomized, controlled study

J Clin AnesthPublished Randomised controlled trial

Primary resultResult — go to the resultRelative risk 0.32 95 % CI 0.110–0.562

Authors' conclusion

Adopting LIGM (7.8-10.0 mmol/L) during the pre-anhepatic and anhepatic phases helps to reduce the incidence of EAD after LT and promotes the recovery of liver function, but does not increase the incidence of postoperative infections.

Study context

Population
Adult liver transplantation recipients182 completed
Participants
188 recipients
Comparison
Less intensive glucose management (LIGM) vs more intensive glucose management (MIGM)
  • LIGMn = 89
  • MIGMn = 93reference
Primary endpoint
Early allograft dysfunction (EAD)
Methodological detailsopen-label, prospective, 1:1 allocation
  • Open-label
  • Prospective
  • 1:1 allocation

Primary result

As reported in the abstract

Relative risk

0.32

95 % CI 0.110–0.562

P < 0.001

By group

LIGM vs MIGM
RR 0.32 (95 % CI 0.110–0.562); P < 0.001

Secondary outcomes

One-year survival

P = 0.044

Safety

OutcomeP value
30-day postoperative infectionP > 0.05

30-day postoperative infection

No statistical difference between the two groups

Original publication

Impact of differential glycemic management goals in pre-anhepatic and anhepatic phase on early grafted liver function after liver transplantation: An open-label, randomized, controlled study. J Clin Anesth. Published 15 March 2025. doi:10.1016/j.jclinane.2025.111807

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