Data Sheet 2_The carbon footprint and energy consumption of liver transplantation.xlsx
Background and aims<p>There is growing interest in the environmental impact of surgical procedures, yet more information is needed specifically regarding liver transplantation. This study aims to quantify the total greenhouse gas emissions, or carbon footprint, associated with adult whole-size...
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| مؤلفون آخرون: | , , , |
| منشور في: |
2025
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| _version_ | 1852023908211884032 |
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| author | Paolo De Simone (9520502) |
| author2 | Quirino Lai (8637660) Juri Ducci (20506748) Daniela Campani (121180) Giandomenico Biancofiore (20506751) |
| author2_role | author author author author |
| author_facet | Paolo De Simone (9520502) Quirino Lai (8637660) Juri Ducci (20506748) Daniela Campani (121180) Giandomenico Biancofiore (20506751) |
| author_role | author |
| dc.creator.none.fl_str_mv | Paolo De Simone (9520502) Quirino Lai (8637660) Juri Ducci (20506748) Daniela Campani (121180) Giandomenico Biancofiore (20506751) |
| dc.date.none.fl_str_mv | 2025-01-06T06:55:49Z |
| dc.identifier.none.fl_str_mv | 10.3389/frtra.2024.1441928.s002 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/dataset/Data_Sheet_2_The_carbon_footprint_and_energy_consumption_of_liver_transplantation_xlsx/28141004 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Surgery liver transplantation carbon footprint greenhouse gas emissions CO2 pollution global warming energy consumption |
| dc.title.none.fl_str_mv | Data Sheet 2_The carbon footprint and energy consumption of liver transplantation.xlsx |
| dc.type.none.fl_str_mv | Dataset info:eu-repo/semantics/publishedVersion dataset |
| description | Background and aims<p>There is growing interest in the environmental impact of surgical procedures, yet more information is needed specifically regarding liver transplantation. This study aims to quantify the total greenhouse gas emissions, or carbon footprint, associated with adult whole-size liver transplantation from donors after brain death, including the relevant back-table graft preparation.</p>Methods<p>The carbon footprint was calculated retrospectively using a bottom-up approach. This approach sums the volumes of energy consumption (kWh), volatile anesthetics (ml), solid waste (kg), and units of blood products transfused for each transplant. These consumption values were converted using validated conversion factors to the equivalent mass of carbon dioxide released into the environment (kg CO2e).</p>Results<p>A total of 147 patients with a mean age of 55 years (male, 78.9%) who underwent liver transplants between 2021 and 2022 were analyzed, resulting in 45.5 tons CO2e. The mean (SD) carbon footprint for each procedure was 309.8 (33.2) kg CO2e [95% CI: 304.4; 315.3]. Total energy power consumption was 96.5 MW, contributing 65.4% of greenhouse emissions (29.8 tons CO2e), while volatile anesthetics, solid waste, and blood product transfusions contributed 8.0% (3.64 tons CO2e), 5.9% (2.7 tons CO2e), and 20.6% (9.4 tons CO2e), respectively. The duration of surgery (t = 29.0; p < 0.001), transfused red blood cells (t = 13.1; p < 0.001), fresh frozen plasma (t = 11.1; p < 0.001), platelets (t = 8.9; p < 0.001), and the use of an extracorporeal pump machine (t = 3.6; p < 0.001) had the greatest effects on greenhouse gas emissions.</p>Conclusions<p>Liver transplantation requires significant energy and is associated with considerable greenhouse gas emissions, particularly during longer procedures. Transplant clinicians, hospital administrators, policymakers, and patients should be aware of the environmental impact of liver transplantation and collaborate to adopt sustainable energy practices.</p> |
| eu_rights_str_mv | openAccess |
| id | Manara_1aed2e9548efbb423d34fe85a8d7edf3 |
| identifier_str_mv | 10.3389/frtra.2024.1441928.s002 |
| network_acronym_str | Manara |
| network_name_str | ManaraRepo |
| oai_identifier_str | oai:figshare.com:article/28141004 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Data Sheet 2_The carbon footprint and energy consumption of liver transplantation.xlsxPaolo De Simone (9520502)Quirino Lai (8637660)Juri Ducci (20506748)Daniela Campani (121180)Giandomenico Biancofiore (20506751)Surgeryliver transplantationcarbon footprintgreenhouse gas emissionsCO2pollutionglobal warmingenergy consumptionBackground and aims<p>There is growing interest in the environmental impact of surgical procedures, yet more information is needed specifically regarding liver transplantation. This study aims to quantify the total greenhouse gas emissions, or carbon footprint, associated with adult whole-size liver transplantation from donors after brain death, including the relevant back-table graft preparation.</p>Methods<p>The carbon footprint was calculated retrospectively using a bottom-up approach. This approach sums the volumes of energy consumption (kWh), volatile anesthetics (ml), solid waste (kg), and units of blood products transfused for each transplant. These consumption values were converted using validated conversion factors to the equivalent mass of carbon dioxide released into the environment (kg CO2e).</p>Results<p>A total of 147 patients with a mean age of 55 years (male, 78.9%) who underwent liver transplants between 2021 and 2022 were analyzed, resulting in 45.5 tons CO2e. The mean (SD) carbon footprint for each procedure was 309.8 (33.2) kg CO2e [95% CI: 304.4; 315.3]. Total energy power consumption was 96.5 MW, contributing 65.4% of greenhouse emissions (29.8 tons CO2e), while volatile anesthetics, solid waste, and blood product transfusions contributed 8.0% (3.64 tons CO2e), 5.9% (2.7 tons CO2e), and 20.6% (9.4 tons CO2e), respectively. The duration of surgery (t = 29.0; p < 0.001), transfused red blood cells (t = 13.1; p < 0.001), fresh frozen plasma (t = 11.1; p < 0.001), platelets (t = 8.9; p < 0.001), and the use of an extracorporeal pump machine (t = 3.6; p < 0.001) had the greatest effects on greenhouse gas emissions.</p>Conclusions<p>Liver transplantation requires significant energy and is associated with considerable greenhouse gas emissions, particularly during longer procedures. Transplant clinicians, hospital administrators, policymakers, and patients should be aware of the environmental impact of liver transplantation and collaborate to adopt sustainable energy practices.</p>2025-01-06T06:55:49ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.3389/frtra.2024.1441928.s002https://figshare.com/articles/dataset/Data_Sheet_2_The_carbon_footprint_and_energy_consumption_of_liver_transplantation_xlsx/28141004CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/281410042025-01-06T06:55:49Z |
| spellingShingle | Data Sheet 2_The carbon footprint and energy consumption of liver transplantation.xlsx Paolo De Simone (9520502) Surgery liver transplantation carbon footprint greenhouse gas emissions CO2 pollution global warming energy consumption |
| status_str | publishedVersion |
| title | Data Sheet 2_The carbon footprint and energy consumption of liver transplantation.xlsx |
| title_full | Data Sheet 2_The carbon footprint and energy consumption of liver transplantation.xlsx |
| title_fullStr | Data Sheet 2_The carbon footprint and energy consumption of liver transplantation.xlsx |
| title_full_unstemmed | Data Sheet 2_The carbon footprint and energy consumption of liver transplantation.xlsx |
| title_short | Data Sheet 2_The carbon footprint and energy consumption of liver transplantation.xlsx |
| title_sort | Data Sheet 2_The carbon footprint and energy consumption of liver transplantation.xlsx |
| topic | Surgery liver transplantation carbon footprint greenhouse gas emissions CO2 pollution global warming energy consumption |