Predictive Parameters for Hospital Admission Among Liver Transplant Recipients Presenting to the Emergency Department: A 5-Year Study

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dc.authoridTATLIPARMAK, ALI CANKUT/0000-0002-6729-5021
dc.contributor.authorAydin, Omerul Faruk
dc.contributor.authorGulec, Tolgahan
dc.contributor.authorTatliparmak, Ali Cankut
dc.contributor.authorYilmaz, Sarper
dc.date.accessioned2025-03-09T10:48:32Z
dc.date.available2025-03-09T10:48:32Z
dc.date.issued2024
dc.departmentİstanbul Beykent Üniversitesi
dc.description.abstractAim: Liver transplantation (LT) has significantly improved patient outcomes, leading to increased numbers of LT recipients seeking emergency department (ED) care. However, there is a lack of comprehensive information regarding their outcomes and parameters influencing hospital admission decisions. This study aims to address the gap in knowledge by analyzing critical parameters influencing hospital admission decisions for LT recipients presenting at the ED. Materials and Methods: A retrospective observational case-control study was conducted with 247 consecutive LT patients who visited a tertiary care center's ED between 2018 and 2023. Demographic information, transplantation details, presenting complaints, laboratory results, and ED outcomes were evaluated. Univariate analysis identified significant predictors for an artificial neural network (ANN) analysis to predict admission decisions. Results: Among 247 LT recipients presenting at the ED, 48.2% were admitted. The most common complaints among admitted patients were abdominal pain and fever. Patients admitted had higher levels of alanine aminotransferase, aspartate aminotransferase (AST), alkaline phosphatase, gamma-glutamyl transferase, and C-reactive protein (CRP) and lower levels of total protein and albumin compared to discharged patients. Ultrasonography findings of perihepatic fluid collection were more common in admitted patients. The ANN analysis identified total protein, conjugated bilirubin, CRP, total bilirubin, and AST as the most influential factors predicting hospital admission decisions. Conclusion: The ANN analysis identified total protein, conjugated bilirubin, CRP, total bilirubin, and AST influencing hospital admission decisions for liver transplant recipients in the ED. Emphasizing the significance of these parameters can guide evidence-based guidelines for improved patient care and resource allocation in emergency settings.
dc.identifier.doi10.4274/eajem.galenos.2024.85619
dc.identifier.endpage167
dc.identifier.issn2149-5807
dc.identifier.issn2149-6048
dc.identifier.issue3
dc.identifier.scopusqualityN/A
dc.identifier.startpage159
dc.identifier.trdizinid1275881
dc.identifier.urihttps://doi.org/10.4274/eajem.galenos.2024.85619
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1275881
dc.identifier.urihttps://hdl.handle.net/20.500.12662/4590
dc.identifier.volume23
dc.identifier.wosWOS:001333597500003
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherGalenos Publ House
dc.relation.ispartofEurasian Journal of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250310
dc.subjectLiver transplantation
dc.subjecthospital admission decisions
dc.subjectemergency department outcomes
dc.subjectartificial neural network analysis
dc.subjectclinical decision-making
dc.titlePredictive Parameters for Hospital Admission Among Liver Transplant Recipients Presenting to the Emergency Department: A 5-Year Study
dc.typeArticle

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