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Kim, Gaab Soo MD; Gwak, Mi Sook MD; Ko, Justin Sang MD
Section Editor(s): Saidman, Lawrence
Department of Anesthesiology and Pain Medicine; Samsung Medical Center; Sungkyunkwan University School of Medicine; 50, Il won-Dong, Kangnam-Ku; Seoul, Korea 135-710; email@example.com
Dr. Frasco does not wish to respond.
Frasco et al. (1) found significant differences in disease severity (Model for End-Stage Liver Disease, MELD score), impairment of coagulation function, and the need for red blood cell and component transfusion between patients undergoing living and cadaveric liver transplantation. We performed a similar study which was published in Korean (2), although it appeared as an abstract in English (3). In our study, 17 patients received a cadaveric liver and 16 patients received a liver from a living donor. In contrast to the results of Frasco et al. study, we found no significant differences in the preoperative MELD score (P = 0.544, Student's t-test) or coagulation function between the groups, as shown in Table 1. We believe that the type of donor liver (living versus cadaver) rather than the recipient's preoperative status is a better predictor of reperfusion coagulopathy and intraoperative transfusion requirements.
Gaab Soo Kim, MD
Mi Sook Gwak, MD
Justin Sang Ko, MD
Department of Anesthesiology and Pain Medicine
Samsung Medical Center
Sungkyunkwan University School of Medicine
50, Il won-Dong, Kangnam-Ku
Seoul, Korea 135-710
© 2007 International Anesthesia Research Society
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