Table 1: Patient Characteristics and Outcomes.

 

 

 

Age/Gender

Ethnicity

Clinical Setting

and Procedure

MELD

HE

Pre-OLT psychiatric medications

Pre-OLT % Dose Reduction

Post-OLT meds

POD of med restart

IMS

Medical LOS

(days)

Outcome And Psych LOS

A

58/F

Arabic

 

Recurrent  Allograft HCV

OLT

40

Yes

None

100%

Quetiapine           25 mg

Ativan                   1 mg

Haloperidol           2  mg

1

29

50

BAS, ST, MMF, TAC

22

Psych Admit

25 days

B

58/M

Caucasian

Recurrent Allograft Cryptogenic

OLT

37

Yes

Olanzapine   2.5 mg

Lamotrigine   25 mg

0%

Olanzapine         2.5 mg

Lamotrigine          25 mg

1

3

BAS, ST, MMF, TAC

6

Psych Admit

11 days

C

49/M

Caucasian

NASH

OLT

40

Yes

Sertraline      50 mg

75%

Olanzapine          2.5 mg

Sertraline              50 mg

5

5

DAC, ST, MMF

14

Psych Admit

12 days

D

59/M

Caucasian

HCV/ETOH

sLK

30

Yes

Quetiapine    25 mg

Sertraline      50 mg

95%

Quetiapine            25 mg

Sertraline              50 mg

0

0

BAS, ST, MMF, TAC

12

Psych Admit

14 days

E - I

64/F

Caucasian

NASH

OLT

29

Yes

None

0%

Olanzapine          7.5 mg

22

DAC, ST, MMF

29

Psych Admit

5 days

E - 11

Allograft Ductopenia

sLK

34

No

Olanzapine  10 mg

0%

Olanzapine           10 mg

1

BAS, ST, MMF, TAC

9

Home

F

56/M

Caucasian

Cryptogenic

OLT

31

Yes

Lithium       900 mg

Paroxetine   20 mg

0%

Lithium                900 mg

Paroxetine            20 mg

0

0

BAS, ST, MMF, TAC

7

Home

G

43/F

Caucasian

PSC/CCA

OLT

 

24

No

Lamotrigine 300 mg

Topiramate  100 mg

Venlafaxine 150 mg

Ziprasidone  160 mg

0%

Lamotrigine         300 mg

Topiramate          100 mg

Venlafaxine         150 mg

Ziprasidone         160 mg

0

0

0

0

DAC, ST, MMF

7

Home

H

58/F

Caucasian

PBC

OLT

26

No

Lithium          600 mg

0%

Lithium                600 mg

5

AZA, ST, MMF, TAC

7

Home

 

MELD: Model of End Stage Liver Disease, HE: Hepatic Encephalopathy, OLT: Orthotopic Liver Transplant, Meds Medications, POD: Postoperative Day, IMS: Immunosuppression, LOS: Length of Stay (in days), Psych LOS: psychiatric length of stay (in days), F: Female, M: Male, HCV: Chronic Hepatitis C,  NASH: Nonalcoholic Steatohepatitis, ETOH alcohol, sLK: Simultaneous Liver and Kidney Transplant, PSC: Primary Sclerosing Cholangitis, CCA: Cholangiocarcinoma, PBC: Primary Biliary Cirrhosis, BAS: Basiliximab, ST: Steroids, MMF: Mycophenolate, TAC: Tacrolimus, DAC: Daclizumab, AZA: Azathioprine, Psych Admit: Psychiatric Admission