Table 3 Acid-base balance, electrolytes, respiratory analyses, blood counts, and coagulation parameters evaluated immediately before initiating anesthesia and intraoperative transfusions in ABO-C and ABO-I liver transplant recipients after propensity score matching analysis.
ABO-C (n = 199) | ABO-I (n = 199) | P value | |
|---|---|---|---|
Acid-base balance | |||
pH | 7.45 ± 0.03 | 7.47 ± 0.04 | <0.001 |
pH ≥ 7.50, % | 11 (5.5) | 47 (23.6) | <0.001 |
Base excess, mmEq/l | 1.39 ± 2.39 | 4.97 ± 3.76 | <0.001 |
HCO3−, mmEq/l | 25.5 ± 2.8 | 29.1 ± 3.8 | <0.001 |
HCO3− > 30 mmEq/l, % | 7 (3.5) | 56 (28.1) | <0.001 |
PaCO2, mmHg | 37 ± 4.96 | 39 ± 4.95 | <0.001 |
PaCO2 > 45 mmHg, % | 6 (3.0) | 18 (9.0) | 0.021 |
PaO2, mmHg | 88.0 ± 10.6 | 84.3 ± 11.2 | 0.001 |
PaO2 ≤ 80 mmHg | 49 (24.6) | 80 (40.2) | 0.001 |
Lactic acid, mmol/l | 0.99 ± 0.37 | 1.07 ± 0.36 | 0.004 |
Electrolyte analysis | |||
Sodium, mmol/l | 136 ± 4.13 | 138 ± 3.4 | 0.001 |
Potassium, mmol/l | 3.7 ± 0.43 | 3.4 ± 0.45 | <0.001 |
Potassium ≤ 3 mmol/l, % | 13 (6.5) | 35 (17.6) | 0.001 |
Magnesium, mg/dl | 1.98 ± 0.25 | 1.86 ± 0.23 | <0.001 |
Magnesium ≤ 1.7 mg/dl, % | 20 (10.1) | 55 (27.6) | <0.001 |
Total calcium, mmol/l | 2.03 ± 0.15 | 2.07 ± 0.18 | 0.011 |
Ionised calcium, mmol/l | 1.11 ± 0.07 | 1.12 ± 0.07 | 0.443 |
Ratio of total to ionised calcium >2.1, % | 7 (3.5) | 18 (9.0) | 0.039 |
Coagulation parameters | |||
Platelets, ×103 /µl | 64 (49–91) | 47 (32–72) | <0.001 |
Platelets <30 × 103 /µl | 12 (6.0) | 38 (19.1) | <0.001 |
Fibrinogen, mg/dl | 173 (131–226) | 165 (145–193) | 0.256 |
Antithrombin III,% | 52 (34–70) | 61 (50–75) | <0.001 |
PT, INR | 1.33 (1.14–1.55) | 1.25 (1.14–1.42) | 0.018 |
aPTT, s | 33 (29–37) | 31 (28–34) | <0.001 |
Transfusion | |||
Packed red blood cell transfusion, units | 6.0 (2.0–14.0) | 7.0 (3.0–12.0) | 0.910 |
Fresh frozen plasma transfusion, units | 8.0 (3.0–14.5) | 7.0 (2.0–12.0) | 0.165 |
Cryoprecipitate transfusion, units | 10.0 (0–10) | 10.0 (0–10) | 0.207 |
Apheresis platelet transfusion, % | 102 (51.3) | 126 (63.3) | 0.020 |