Bulatao et al reported a score which can help to identify a patient who may not need to be admitted to the intensive care unit (ICU) after a liver transplant. The authors are from Mayo Clinic Florida in Jacksonville.
Patient selection: liver transplant
Fast-tracking was postoperative care in the PACU without ICU admission.
Parameters:
(1) age at transplant in years
(2) body mass index (BMI) in kg per square meter
(3) sex
(4) MELD score
(5) pretransplant length of stay in days
(6) transplant number
(7) packed red blood cells transfused in mL
(8) operative time in minutes
(9) vasopressor during last hour of surgery
Parameter
Finding
Points
age at transplant
<= 65 years
1
> 65 years
0
BMI
<= 30 kg per sq m
1
> 30 kg per sq m
0
sex
female
0
male
1
MELD
<= 12
1
> 12
0
length of stay
0 days
1
> 0 days
0
transplant number
first
1
second or more
0
PRBC in mL
<= 1,440 mL
4
1,401 to 2,800 mL
3
2,801 to 4,200 mL
2
> 4,200 mL
0
operative time
<= 330 minutes
1
> 330 minutes
0
vasopressor last hour
no
2
yes
0
total score =
= SUM(points for all of the parameters)
Interpretation:
• miinimum score: 0
• maximum score: 13
Score
Fast-Tracking
13
91-98%
12
87-95%
11
83-92%
10
76-84%
9
66-71%
8
54-59%
7
40%
6
21-24%
5
15%
4
5-8%
3
4-5%
2
2-3%
Perforamance:
• The area under the ROC curve was 0.79.
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