Hypothermic Oxygenated Perfusion Improves Extended Criteria Donor Liver Graft Function and Reduces Duration of Hospitalization Without Extra Cost: The PERPHO Study Article Swipe
Michel Rayar
,
Max Beaurepaire
,
Emma Bajeux
,
Stéphanie Hamonic
,
T. Renard
,
Clara Locher
,
Véronique Desfourneaux
,
Aude Merdrignac
,
Damien Bergeat
,
M. Lakéhal
,
Laurent Sulpice
,
Pauline Houssel‐Debry
,
Caroline Jézequel
,
Christophe Camus
,
Edouard Bardou–Jacquet
,
Bernard Meunier
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/lt.25955
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/lt.25955
Few studies have evaluated the efficacy or the cost of hypothermic oxygenated perfusion (HOPE) in the conservation of extended criteria donor (ECD) grafts from donation after brain death (DBD) donors during liver transplantation (LT). We performed a prospective, monocentric study (NCT03376074) designed to evaluate the interest of HOPE for ECD‐DBD grafts. For comparison, a control group was selected after propensity score matching among patients who received transplants between 2010 and 2017. Between February and November 2018, the HOPE procedure was used in 25 LTs. Immediately after LT, the median aspartate aminotransferase (AST) level was significantly lower in the HOPE group (724UI versus 1284UI; P = 0.046) as were the alanine aminotransferase (ALT; 392UI versus 720UI; P = 0.01), lactate (2.2 versus 2.7; P = 0.01) There was a significant reduction in intensive care unit stay (3 versus 5 days; P = 0.01) and hospitalization (15 versus 20 days; P = 0.01). The incidence of early allograft dysfunction (EAD; 28% versus 42%; P = 0.22) was similar . A level of AST or ALT in perfusate >800UI was found to be highly predictive of EAD occurrence (areas under the curve, 0.92 and 0.91, respectively). The 12‐month graft (88% versus 89.5%; P = 1.00) and patient survival rates (91% versus 91.3%; P = 1.00) were similar. The additional cost of HOPE was estimated at € 5298 per patient. The difference between costs and revenues, from the hospital's perspective, was not different between the HOPE and control groups (respectively, € 3023 versus € 4059]; IC, –€ 5470 and € 8652). HOPE may improve ECD graft function and reduce hospitalization stay without extra cost. These results must be confirmed in a randomized trial.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/lt.25955
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lt.25955
- OA Status
- bronze
- Cited By
- 54
- References
- 24
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3110279838
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3110279838Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1002/lt.25955Digital Object Identifier
- Title
-
Hypothermic Oxygenated Perfusion Improves Extended Criteria Donor Liver Graft Function and Reduces Duration of Hospitalization Without Extra Cost: The PERPHO StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-11-25Full publication date if available
- Authors
-
Michel Rayar, Max Beaurepaire, Emma Bajeux, Stéphanie Hamonic, T. Renard, Clara Locher, Véronique Desfourneaux, Aude Merdrignac, Damien Bergeat, M. Lakéhal, Laurent Sulpice, Pauline Houssel‐Debry, Caroline Jézequel, Christophe Camus, Edouard Bardou–Jacquet, Bernard MeunierList of authors in order
- Landing page
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https://doi.org/10.1002/lt.25955Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lt.25955Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lt.25955Direct OA link when available
- Concepts
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Medicine, Liver transplantation, Perfusion, Machine perfusion, Duration (music), Surgery, Anesthesia, Transplantation, Internal medicine, Art, LiteratureTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
54Total citation count in OpenAlex
- Citations by year (recent)
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2025: 8, 2024: 8, 2023: 18, 2022: 11, 2021: 9Per-year citation counts (last 5 years)
- References (count)
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24Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| primary_location.is_published | True |
| primary_location.raw_source_name | Liver Transplantation |
| primary_location.landing_page_url | https://doi.org/10.1002/lt.25955 |
| publication_date | 2020-11-25 |
| publication_year | 2020 |
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