Inflammatory Biomarkers and Respiratory Function in Liver Transplant Patients: Findings from a Nationwide Cohort Analysis - Scorecard - MDSpire

Inflammatory Biomarkers and Respiratory Function in Liver Transplant Patients: Findings from a Nationwide Cohort Analysis

  • By

  • Nicoline Arentoft

  • Julie Høgh

  • Hans-Christian Pommergaard

  • Andreas Dehlbæk Knudsen

  • Annette Dam Fialla

  • Paul Suno Krohn

  • Niels Kristian Aagaard

  • Jens-Ulrik Stæhr Jensen

  • Jesper Rømhild Davidsen

  • Michael Perch

  • Allan Rasmussen

  • Susanne Dam Nielsen

  • April 28, 2026

  • 0 min

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Clinical Scorecard: Inflammatory Biomarkers and Respiratory Function in Liver Transplant Patients: Findings from a Nationwide Cohort Analysis

At a Glance

CategoryDetail
ConditionImpaired lung function in liver transplant recipients
Key MechanismsElevated inflammatory markers, particularly hs-CRP, associated with lung function impairment
Target PopulationAdult liver transplant recipients
Care SettingOutpatient clinics for liver transplant recipients in Denmark

Key Highlights

  • 11.6% prevalence of airflow limitation and 24.5% of PRISm in liver transplant recipients
  • Median FEV1 of 2790 mL and median FVC of 3680 mL
  • hs-CRP >3 mg/L linked to increased odds of PRISm and lower FEV1 and FVC
  • Study utilized data from the DACOLT study, including >75% of eligible liver transplant recipients in Denmark
  • Systemic inflammation may contribute to lung function impairment in this population

Guideline-Based Recommendations

Diagnosis

  • Assess lung function using spirometry in liver transplant recipients
  • Monitor inflammatory markers such as hs-CRP

Management

  • Consider managing systemic inflammation to potentially improve lung function
  • Regular follow-up for pulmonary function tests in liver transplant patients

Monitoring & Follow-up

  • Monitor FEV1 and FVC in liver transplant recipients
  • Evaluate hs-CRP levels as part of routine assessments

Risks

  • Increased risk of pulmonary infections due to immunosuppressive therapy
  • Potential for chronic pulmonary diseases in liver transplant recipients

Patient & Prescribing Data

Adult liver transplant recipients with available spirometry and inflammatory marker data

Elevated hs-CRP levels may indicate the need for closer monitoring and management of lung function

Clinical Best Practices

  • Incorporate routine spirometry in the follow-up care of liver transplant recipients
  • Evaluate and address systemic inflammation in liver transplant patients

References

Original Source(s)

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