Send to

Choose Destination
Pediatr Transplant. 2018 May;22(3):e13159. doi: 10.1111/petr.13159. Epub 2018 Feb 7.

Incidence, risk factors, and outcomes related with neurological events after liver transplantation in adult and pediatric recipients.

Author information

Hepatology and Liver Transplant Unit, Hospital Universitario Austral, Universidad Austral, Pilar, Argentina.
Pediatric Hepatology and Liver Transplant Unit, Hospital Universitario Austral, Pilar, Argentina.
Department of Surgery, The Feinstein Institute for Medical Research, New York, NY, USA.
Department of Neurology, Hospital Universitario Austral, Pilar, Argentina.


Controversy exists whether NE after LT are more frequently observed in children or adults. We aimed to compare the incidence and outcomes for NE after LT in pediatric and adult recipients. A single-center cohort study, including all LT between 2001 and 2013, was performed. Definition of NE included impaired consciousness, delirium, seizures, focal neurologic deficit, visual impairment, or slurred speech. A cohort of 443 consecutive LT recipients was included: 307 adults and 136 children. Cumulative incidence of NE was similar between adults 15% (n = 41) and children 16% (n = 20; P = .73) with a complete neurological recovery in 62% and 95% of the patients, respectively (P < .0001). Adults with NE had significantly lower survival (70% vs 76%; P = .015) with a HR of 2.36; this was similarly observed in children (45% vs 66%; HR 2.05, CI 0.66; 6.34). Independent risk factors for NE in adults were pre-LT ascites, delta sodium, and post-LT hypomagnesemia, whereas in children pre-LT encephalopathy ≥II and serum albumin were associated with NE. Although a similar incidence of NE after LT was observed, children were more likely to achieve neurological recovery. Risk factors for the development of NE are difficult to assess in both populations.


adverse events; immunosuppression; nervous system; transplantation

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center