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. 2019 Aug 7;54(10):845–859. doi: 10.1007/s00535-019-01605-6

Table 1.

Summary of main studies investigating the association between pre-liver transplantation CT-determined low skeletal muscle index and adverse outcomes in patients with cirrhosis

Author/year Study population Sarcopenia definition Adverse outcome associated with sarcopenia
Pre-liver transplant outcomes
 Carey et al., 2016 [6] 396 patients listed for LT L3 SMI < 39 cm2/m2 for women and < 50 cm2/m2 for men Higher waitlist mortality
 Van Vugt et al., 2018 [18] 224 patients listed for LT L3 SMI < 44.1 cm2/m2 for men and < 37.9 cm2/m2 for women Increased health-related costs in patients waiting for LT
 Bhanji et al., 2018 [16] 675 patients evaluated for LT L3 SMI < 39 cm2/m2 for women and < 50 cm2/m2 for men Higher risk of hepatic encephalopathy
Post-liver transplant outcomes
 DiMartini et al., 2013 [9] 338 LT recipients L3 SMI ≤ 38.5 cm2/m2 for women and ≤ 52.4 cm2/m2 for men

Longer intensive care unit (ICU) stay, total length of stay, and days of intubation

Predictor of discharge to medical facility in men

 Montano-Loza et al., 2014 [14] 248 LT recipients L3 SMI ≤ 41 cm2/m2 for women and ≤ 53 cm2/m2 for men with body mass index (BMI) ≥ 25 and ≤ 43 cm2/m2 in patients with BMI < 25 Longer hospital stay and higher incidence of bacterial infections within the first 90 days following LT
 Kuo et al., 2019 [116] 126 patients undergoing urgent evaluation and LT L3 SMI < 48 cm2/m2 for men Post-LT mortality in acutely ill men
 Bhanji et al., 2019 [117] 293 LT recipients L3 SMI < 39 cm2/m2 for women and < 50 cm2/m2 for men

Progressive worsening of sarcopenia in the interval between LT evaluation and post-LT

Increased post-LT length of hospital stay

L3 third lumbar vertebrate, LT liver transplantation, SMI skeletal muscle index