1. Deceased-donor Kidney Transplantation: Predictive Factors and Impact on Postoperative Outcome.
- Author
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Santos F, Guimarães J, Araújo AM, Nunes CS, and Casal M
- Subjects
- Adult, Cadaver, Cold Ischemia statistics & numerical data, Comorbidity, Female, Humans, Kidney Failure, Chronic therapy, Length of Stay, Male, Middle Aged, Renal Dialysis statistics & numerical data, Retrospective Studies, Warm Ischemia statistics & numerical data, Kidney Failure, Chronic surgery, Kidney Transplantation methods, Postoperative Complications epidemiology
- Abstract
Kidney transplantation (KT) is the treatment of choice in end stage renal disease. Patients proposed for KT have multiple comorbidities, which makes KT a challenge. Our aim was to assess predictive factors for postoperative complications in deceased-donor KT. For data statistical analysis, logistic and linear regressions were used. Between 2012 and 2013, 113 KTs were performed in patients with a mean age 49.9 years. The most prevalent etiology was unknown (32.7%). All patients were in kidney replacement therapy (KRT), for an average of 5.7 years. Most had comorbidities before KT (84.1%), the most frequent hypertension (82.3%). Mean ischemia time (IT) was 1056 minutes. Complications occurred in 93.8% of cases. There were reinterventions in 12.4% of cases, and reinterventions in 13.3%. The time in KRT, IT, and ischemic heart disease had predictive power for the length of hospital stay. Diabetes mellitus before KT and IT were predictors for nephrourologic complications; anemia before KT for hematologic complications; and anemia before KT and time in KRT for cardiovascular complications. The morbidity associated with this disease points to the need to identify and improve the patient-dependent variables influencing its outcome, so as to improve short-term success., (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Published
- 2015
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