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. 1978 Feb;187(2):174–178. doi: 10.1097/00000658-197802000-00014

Factors predicing survival after portacaval shunt: a multiple linear regression analysis.

G Simert, T Persson, J Vang
PMCID: PMC1396478  PMID: 629618

Abstract

The predictive value of 15 pre- and peroperative parameters upon survival after portacaval shunt was analyzed in a retrospective investigation of 134 elective operations. A multiple linear regression model was used. Survival was measured at three different points of time: one month, one year and five years after the operation. Survival at one month was influenced by the parameters bilirubin/s and ascites only. Survival at one year was influenced by albumin/s, sex, bilirubin/s, BSP, heart disease history and ascites Survival at five years was influenced by albumin/s, alkaline phosphatase/s, history of alcohol abuse, and globulin/s. These findings indicate that prediction of survival after portacaval shunt is an intricate process and that considerable improvement of the child criteria is possible.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Burchell A. R., Moreno A. H., Panke W. F., Nealon T. F., Jr Hemodynamic variables and prognosis following portacaval shunts. Surg Gynecol Obstet. 1974 Mar;138(3):359–369. [PubMed] [Google Scholar]
  2. Campbell D. P., Parker D. E., Anagnostopoulos C. E. Survival prediction in portacaval shunts: a computerized statistical analysis. Am J Surg. 1973 Dec;126(6):748–751. doi: 10.1016/s0002-9610(73)80062-5. [DOI] [PubMed] [Google Scholar]
  3. Charters A. C., 3rd, Brown B. N., Sviolka S. C., Knox D. G., Orloff M. J. The influence of portal perfusion on the response to portacaval shunt. Am J Surg. 1975 Aug;130(2):226–232. doi: 10.1016/0002-9610(75)90375-x. [DOI] [PubMed] [Google Scholar]
  4. Edmondson H. T., Jackson F. C., Juler G. L., Sigel B., Perrin E. B. Clinical investigation of the portacaval shunt. IV. A report of early survival from the emergency operation. Ann Surg. 1971 Mar;173(3):372–380. doi: 10.1097/00000658-197103000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Foster J. H., Ellison L. H., Donovan T. J., Anderson A. Quantity and quality of survival after portosystemic shunts. Am J Surg. 1971 Apr;121(4):490–501. doi: 10.1016/0002-9610(71)90245-5. [DOI] [PubMed] [Google Scholar]
  6. Hsu K. Portal systemic shunt for portal hypertension: importance of bromsulphalein retention for prediction of survival. Ann Surg. 1972 Apr;175(4):569–576. doi: 10.1097/00000658-197204000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Maillard J. N., Clot P., Coste T. Preoperative parameters influencing survival in patients with elective portacaval shunts. Digestion. 1974;10(2):129–137. doi: 10.1159/000197532. [DOI] [PubMed] [Google Scholar]
  8. Malt R. A., Szczerban J., Malt R. B. Risks in therapeutic portacaval and splenorenal shunts. Ann Surg. 1976 Sep;184(3):279–288. doi: 10.1097/00000658-197609000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Turcotte J. G., Lambert M. J., 3rd Variceal hemorrhage, hepatic cirrhosis, and portacaval shunts. Surgery. 1973 Jun;73(6):810–817. [PubMed] [Google Scholar]
  10. Turner J., Cuschieri A., Shields R. The prediction of the outcome of portacavel shunt using bromsulphthalein (BSP): a retrospective aspect. Br J Surg. 1974 Oct;61(10):828–831. doi: 10.1002/bjs.1800611019. [DOI] [PubMed] [Google Scholar]
  11. Woodard J. C., Webster P. D. Comparison of portacaval shunts in patients with alcoholic and nonalcoholic liver disease. Am J Dig Dis. 1972 Nov;17(11):997–1002. doi: 10.1007/BF02239139. [DOI] [PubMed] [Google Scholar]

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