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Research in Pharmaceutical Sciences، جلد ۱۴، شماره ۶، صفحات ۵۱۵-۵۲۳
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عنوان انگلیسی Effects of pre-transplant L-carnitine supplementation on primary graft dysfunction in liver transplant recipients: a pilot, randomized, placebo-controlled clinical trial
چکیده انگلیسی مقاله Primary graft dysfunction (PGD) and non-function (PNF) happen in 8.7-24.7% and 0.9-7.2% of liver transplant recipients, respectively. These phenomena increase treatment cost and patients’ death.This study assessed the effect of L-carnitine supplementation on the incidences of PNF/PGD in liver transplant recipients. This randomized, placebo-controlled, clinical trial was performed on adult liver transplant recipients. Patients took L-carnitine syrup 500 mg three times daily or placebo from the time of including in transplant waiting list until the day of transplant surgery (median 14 days,1-192 days). Thirty-three patients in L-carnitine and 39 patients in placebo group completed the study. Although not statistically significant, PNF and PGD happened less frequently among recipients in L-carnitine compared with placebo group (3% vs. 12.8% for PNF; 15.2% vs. 30.8% for PGD). Alanine aminotransferase (ALT) and aspartate aminotransferase were lower in L-carnitine group at day 3 after transplantation. ALT declined more significantly within 48 h after transplantation in L-carnitine arm (median 120.50 vs. 79 IU/L; P = 0.03). One-month patients’ survival was significantly higher in L-carnitine versus placebo group (97% vs. 74.4%; P = 0.008). The rates of PNF and PGD in L-carnitine group were approximately one-fourth and one-half of placebo group respectively. One-month patients’ survival was higher in L-carnitine group.
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نویسندگان مقاله | Behrouz Khajeh
1Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, I.R. Iran. 2Liver Transplantation Research Center, Tehran University of Medical Sciences, Tehran, I.R. Iran.


| Simin Dashti-Khavidaki
2Liver Transplantation Research Center, Tehran University of Medical Sciences, Tehran, I.R. Iran.


| Mohsen Nasiri-Toosi
1Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, I.R. Iran.


| Keyhan Mohammadi
3Department of Clinical Pharmacy, Faculty of Pharmacy, Guilan University of Medical Sciences, Rasht, I.R. Iran.


| Atefeh Jafari


نشانی اینترنتی http://rps.mui.ac.ir/index.php/jrps/article/view/1945
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/115/article-115-2233602.pdf
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Article
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