DCD donor hemodynamics as predictor of outcome after kidney transplantation
| Autor: | J A M Hagenaars, Julia H E Houtzager, Martin B A Heemskerk, J J Homan van der Heide, Hessel Peters-Sengers, F. J. Bemelman, R W Klaasen, S E Joor, P M Rebers, Joke I. Roodnat, Robert C. Minnee, Mirza M. Idu |
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| Přispěvatelé: | Surgery, Internal Medicine, AII - Inflammatory diseases, Nephrology, AII - Amsterdam institute for Infection and Immunity, Graduate School, ACS - Amsterdam Cardiovascular Sciences, APH - Aging & Later Life, ACS - Atherosclerosis & ischemic syndromes |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Graft Rejection Male medicine.medical_specialty Tissue and Organ Procurement Systole 030232 urology & nephrology Ischemia Delayed Graft Function Hemodynamics Blood Pressure 030230 surgery Donor Selection 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Internal medicine Humans Immunology and Allergy Medicine Pharmacology (medical) Kidney transplantation Retrospective Studies Transplantation medicine.diagnostic_test business.industry Graft Survival Middle Aged Prognosis medicine.disease Kidney Transplantation Tissue Donors Death Oxygen Perfusion Survival Rate Pulse oximetry Increased risk Blood pressure Circulatory system Cardiology Kidney Failure Chronic Female business Reperfusion injury Follow-Up Studies |
| Zdroj: | American Journal of Transplantation, 18(8), 1966-1976. Wiley-Blackwell Publishing Ltd American journal of transplantation, 18(8), 1966-1976. Wiley-Blackwell |
| ISSN: | 1600-6135 |
| DOI: | 10.1111/ajt.14676 |
| Popis: | Insufficient hemodynamics during agonal phase-i.e. the period between withdrawal of life-sustaining treatment and circulatory arrest-in Maastricht category III circulatory-death donors (DCD) potentially exacerbate ischemia/reperfusion injury. We included 409 Dutch adult recipients of DCD donor kidneys transplanted between 2006 and 2014. Peripheral oxygen saturation (SpO2-with pulse oximetry at the fingertip) and systolic blood pressure (SBP-with arterial catheter) were measured during agonal phase, and were dichotomized into minutes of SpO2>60% or SpO2 80 mmHg or SBP |
| Databáze: | OpenAIRE |
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