{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T12:55:57Z","timestamp":1782132957668,"version":"3.54.5"},"reference-count":43,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute kidney injury (AKI) is a frequent complication after liver transplantation (LT), and malnutrition is a known risk factor. The Controlling Nutritional Status (CONUT) score, based on serum albumin, lymphocyte count, and cholesterol, has been associated with postoperative AKI in other surgeries, but its relevance to LT remains unclear. This study aimed to evaluate the utility of the CONUT score for predicting AKI in living donor LT (LDLT) recipients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed 480 patients who underwent LDLT from January 2012 to June 2023. The CONUT score was calculated using preoperative laboratory data. The primary outcome was AKI incidence, defined by KDIGO criteria, and compared across CONUT grades. Multivariate logistic regression was used to identify independent predictors of AKI. Secondary outcomes included early allograft dysfunction (EAD), hospital length of stay (LOS), 30\u2010day and 1\u2010year mortality, and postoperative model for end\u2010stage liver disease (MELD) scores on days 1, 3, 5, and 7.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 480 patients, 150 (31.3%) developed AKI. AKI incidence significantly differed by CONUT grade (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003). Higher CONUT grades were associated with longer ventilation time (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.008), prolonged hospital LOS (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001), more frequent EAD (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), and higher postoperative MELD scores (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01). The CONUT score was independently associated with AKI in multivariate analysis (OR 1.14, 95% CI 1.05\u20131.24,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The CONUT score independently predicts postoperative AKI in LDLT and may be a useful tool for preoperative risk stratification and perioperative management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70562","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T15:21:36Z","timestamp":1778772096000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Controlling Nutritional Status Scores Predict Postoperative Acute Kidney Injury in Living Donor Liver Transplantation"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5581-4605","authenticated-orcid":false,"given":"Akira","family":"Katayama","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine University of Pittsburgh  Pittsburgh, PA USA"},{"name":"Department of Anesthesiology and Resuscitology Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0147-2320","authenticated-orcid":false,"given":"Ezeldeen","family":"Abuelkasem","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine University of Pittsburgh  Pittsburgh, PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6632-1163","authenticated-orcid":false,"given":"Marianne M.","family":"Ligon","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine University of Pittsburgh  Pittsburgh, PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2553-1081","authenticated-orcid":false,"given":"David W.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine University of Pittsburgh  Pittsburgh, PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.12027"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.5500\/wjt.v8.i2.44"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000000868"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4254\/wjh.v9.i18.823"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2006.01602.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.24875\/RIC.21000496"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e31820437da"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/489823"},{"issue":"1","key":"e_1_2_10_10_1","first-page":"38","article-title":"CONUT: A Tool for Controlling Nutritional Status. 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