Outcomes and Complications of Donor and Recipient of Renal Transplantation: An Experience from Tertiary Care Center – A Retrospective Observational Study.
| Autor: | Punia, Sahil, Sadasukhi, Nripesh, Sadasukhi, Trilok Chand, Gupta, Hoti Lal, Gupta, Manish, Sharma, Ashish |
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| Předmět: |
KIDNEY transplantation
PATIENTS TRANSPLANTATION of organs tissues etc. GRAFT survival BODY mass index SCIENTIFIC observation SEX distribution TREATMENT effectiveness TERTIARY care RETROSPECTIVE studies DESCRIPTIVE statistics AGE distribution HEMODIALYSIS SURGICAL complications LONGITUDINAL method GRAFT rejection CHRONIC kidney failure MEDICAL records ACQUISITION of data DATA analysis software COMORBIDITY |
| Zdroj: | Indian Journal of Transplantation; Apr-Jun2024, Vol. 18 Issue 2, p121-126, 6p |
| Abstrakt: | Introduction: Kidney transplantation has emerged as a preferred method for improving survival and quality of life for patients with end‑stage renal disease in comparison with dialysis. Living donation provides a better patient and allograft survival when compared with deceased‑donor transplantation, specifically when the live donor transplant is accomplished before the onset of dialysis. The present study aimed to create and add data for the long‑term survival, complications occurred in donor as well as in recipient both in single study in India. Materials and Methods: We performed a retrospective cohort study of all adult patients undergoing renal transplantation. Data on kidney transplantation and operative variables, as well as follow‑up data, were obtained retrospectively from the Internal Medical Record Department. The primary outcomes examined were both donor and recipient and graft survival after 2 years and 5 years. Secondary outcomes included the presence of acute rejection and delayed graft function, as well as the rate of postoperative complications. Results: A total of 500 donors and 500 recipients participated in the research overall. The mean warm ischemia time was 3.1 ± 1.4 min and cold ischemia time was 44.3 ± 23.4 min. Surgical complications were encountered in 32.8% (164/500) of patients. The 2‑year and 5‑year graft survival rates were 90.2% and 84.8%, respectively. Conclusion: Our patients’ rate of complications was not greater than that noted in the previous publications. A thorough and meticulous medical assessment of the donor and recipient is required, as well as a rigorous and responsible evaluation of the indications. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
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