Deceased-donor Kidney Transplantation: Predictive Factors and Impact on Postoperative Outcome

• Type: Article in International Scientific Journal
• Date: 2015

Authors

Santos, F (Author) Other; Guimaraes, J (Author) Other; Araujo, AM (Author) Other; Nunes, CS (Author) Other; Casal, M (Author) Other

Journal

Title: Transplantation Proceedings

Vol. 47

Pages: 933-937

ISSN: 0041-1345

Publisher: Elsevier

Indexing

ISI Web of Knowledge - 1 Citation

Scopus - 2 Citations

Other information

Authenticus ID: P-00G-610

DOI: 10.1016/j.transproceed.2015.03.007

Abstract (EN): 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.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 5