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use of NT-pro BNP to detect kidney failure after liver transplantatio

Not Applicable
Conditions
Health Condition 1: K721- Chronic hepatic failure
Registration Number
CTRI/2021/06/034332
Lead Sponsor
Institute of liver and biliary sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Adult patients (18-65 years) with decompensated cirrhosis undergoing living donor liver transplant at Institute of Liver and Biliary Sciences.

Exclusion Criteria

Patient refusal.

Paediatric patients.

Patients with severe cardiac disease. [EF <45%, with regional wall motion abnormalities, asymmetric septal hypertrophy (septal/free wall ratio >1:3), Atrial Fibrillation with rapid ventricular response ( >100 beats/min)].

Acute liver failure.

Patients with recent H/o AKI ( <30 days), CKD and on Renal replacement therapy.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Assess the ability of NT-pro-BNP to predict early AKI after LDLTTimepoint: upto 7 days post liver transplant
Secondary Outcome Measures
NameTimeMethod
To assess the relationship between perioperative NT-proBNP level with postoperative morbidity (duration of mechanical ventilation, ICU and hospital length of stay, cardiac events). <br/ ><br>2. Correlation of perioperative NT-ProBNP with cirrhotic cardiomyopathy and postoperative cardiac dysfunction. <br/ ><br>3. Comparison of NT-ProBNP with established markers of AKI (serum cystatin C and urine NGAL). <br/ ><br>Timepoint: Baseline, 24 hours after surgery, preop 2d echo (within 3 months) and post transplant 2d echo within 7 days.
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