Evaluasi Pasien Praoperasi Transplantasi Hati Anak di RSUPN dr. Cipto Mangunkusumo

The definitive treatment for end stage liver disease is liver transplantation. Preoperative conditions for livertransplantation require multidiciplinary management to prevent mortality and optimize the patient’s condition. Thepurpose of this study is to explore the severity of liver disease, morbidity, and mortality of pediatric patients with liverfailure that will undergo liver transplantation at RSCM. This descriptive retrospective study observed pediatric patientswith hepatic cirrhosis who were admitted in RSCM on January 2017 - December 2017. Data sources were collected frompatient’s medical record and direct interview with patient’s relatives. Demographic status, nutritional status, diagnosticindicated liver transplantation, PELD score, Laennec score, and patient outcome were evaluated. Subjects were 108patients, age ranging between 1 to 168 months old, with the median age of 9 months. From 57 patients (52.8%) whosenutritional status was evaluated, 29 patients (50.9%) had severe malnutrition, 9 patients (15.8%) had mild malnutrition,and 19 patients (33.3%) had good nutrition. The most commonly encountered cause of liver disease is biliary atresia,which comprised 83 patients (76.9%). From 71 patients (65.7%), the lowest PELD score is 1, whereas the highestscore is 40, with the median score 17. As for Laennac score, from 71 patients (65.7%), Laennec 4 is obtained from 61patients (85.9%). The outcome revealed 36 pediatric patients with liver disease (33.3%) enlisted as candidates for livertransplantation. Most patients presented with pre-existing severe malnutrition, high PELD and Laennec scores, and themortality rate before transplantation is 42.6%.