Dear Editor:

Thank you for your attention to our article.¹ Regarding the questions, we would like to bring to your attention the following comments:

In many papers, the maximum value for moderate-to-severe hypernatremia is equal to or greater than 155 mEq/L.^2-6 We focused on terminal hypernatremia because despite conventional treatment of hypernatremic donors in the intensive care unit, there was no change in values for sodium in these patients; thus, according to the value of the terminal hypernatremia, a definite diagnosis was given. Regarding the other question, Kwiatkowska⁷ and associates have reported long-term renal functions in a group of renal transplant recipients. However, our study is about early outcomes in liver transplant recipients, and it has been shown that the Model for End-Stage Liver Disease score (international normalized ratio and creatinine) is effective for early postoperative liver function.⁸ On the other hand, in accord with our experiences at this center, the postoperative condition of renal function is clearly associated with liver function.

References:

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