Comparison of the Risk of Early Postoperative Infection and Length of Hospital Stay between Sarcopenic and Nonsarcopenic Adults Undergoing Live Donor Liver Transplantation Using Computed Tomography.
Objectives: Computed tomography (CT)-based sarcopenia assessment and the risk of early postoperative infection among adults undergoing live donor liver transplantation. This article also compares the postoperative length of hospital stay in sarcopenic and nonsarcopenic patients after live donor live...
| Published in: | Indian Journal of Radiology & Imaging Vol. 36; no. 2; pp. 210 - 216 |
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| Main Authors: | , , , , |
| Format: | diagnostic images research tables/charts Journal Article |
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Thieme Medical & Scientific Publishers Private Limited
Apr2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192375880&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192375880 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09713026 1CQM jtl: Indian Journal of Radiology & Imaging issn: 09713026 maglogo: N pubinfo: dt: Apr2026 vid: 36 iid: 2 pid: 65383 pub: Thieme Medical & Scientific Publishers Private Limited artinfo: ui: 192375880 192375880 192375880 10.1055/s-0045-1809625 192375880 ppf: 210 ppct: 6 formats: tig: atl: Comparison of the Risk of Early Postoperative Infection and Length of Hospital Stay between Sarcopenic and Nonsarcopenic Adults Undergoing Live Donor Liver Transplantation Using Computed Tomography. aug: au: Yadav, Garima Ganesan, Prem Kumar Khadaria, Narottam Chaudhary, Abhideep Raj, Shashank affil: Department of Radiology and Imaging, BLK Super Speciality Hospital, New Delhi, India sug: subj: Surgical Wound Infection Risk Factors Length of Stay Sarcopenia Radiography Tomography, X-Ray Computed Living Donors Liver Transplantation Risk Assessment India Human Transplant Recipients Radiography, Abdominal Lumbar Vertebrae Radiography Muscle, Skeletal Radiography Image Processing, Computer Assisted Algorithms Abdominal Muscles Radiography Postoperative Care Blood Culture Microbial Culture and Sensitivity Tests Comparative Studies Psoas Muscles Radiography Erector Spinae Muscles Radiography Quadratus Lumborum Muscles Radiography Rectus Abdominis Muscles Radiography Descriptive Statistics Unpaired T-Tests Fisher's Exact Test Chi Square Test Data Analysis Software Male Female Adult Middle Age Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Objectives: Computed tomography (CT)-based sarcopenia assessment and the risk of early postoperative infection among adults undergoing live donor liver transplantation. This article also compares the postoperative length of hospital stay in sarcopenic and nonsarcopenic patients after live donor liver transplantation. Materials and Methods: Sixty live donor liver transplantation recipients undergoing abdominal CT scans were included during the period from April 2022 to February 2024. CT data was obtained via 128-slice Revolution Frontier CT by GE Healthcare. Individual vertebral levels were identified on CT scan and skeletal muscle cross-sectional areas were computed using MATLAB algorithms. SliceOmatic software aided in muscle area determination and L3 vertebra served as the reference for assessing abdominal muscles. Skeletal muscle index was derived by normalizing muscle area to height. Sex-specific sarcopenia cutoffs were applied based on CT findings. Postoperative care included surveillance for infections using blood culture positivity. Results: Note that 76.47% of the infected patients were sarcopenic while 23.53% were nonsarcopenic. Also, 32.56% of the noninfected patients were sarcopenic whereas 67.44% were nonsarcopenic (p -value = 0.003). Postop length of hospital stay in days showed a significant difference between the two groups (p ≤ 0.001), with the sarcopenic group having the greatest median postop length of hospital stay. Conclusion: Pretransplant sarcopenia as determined by skeletal muscle index is associated with an increased risk of posttransplant infections in a group of patients undergoing liver transplantation as well as longer stay in hospital. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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