Hospital readmissions following HLA-incompatible live donor kidney transplantation: A multi-center study

Autor: Sandip Kapur, Dorry L. Segev, Paul W. Nelson, Jacqueline Garonzik-Wang, Ty B. Dunn, Xun Luo, A. Osama Gaber, Sunjae Bae, Bashir R. Sankari, Debra L. Sudan, Lloyd E. Ratner, Elizabeth A. King, John P. Roberts, Michael A. Rees, Adel Bozorgzadeh, Pooja Singh, David A. Gerber, Stanley C. Jordan, Matthew Cooper, Mark D. Stegall, Jason R. Wellen, Babak J. Orandi, Ronald P. Pelletier, Robert A. Montgomery, Ron Shapiro, Jose Oberholzer, George S. Lipkowitz, Marc P. Posner, Christopher L. Marsh, Marc L. Melcher, Jose M. El-Amm
Rok vydání: 2017
Předmět:
Male
Pediatrics
Kidney Disease
Live donor
030232 urology & nephrology
kidney transplantation/nephrology
030230 surgery
Kidney Function Tests
Medical and Health Sciences
Kidney Failure
0302 clinical medicine
Postoperative Complications
hospital readmission
quality of care
HLA Antigens
Isoantibodies
Risk Factors
care delivery
Living Donors
Immunology and Allergy
living donor [kidney transplantation]
organ transplantation in general
Pharmacology (medical)
Chronic
Kidney transplantation
Graft Survival
Panel reactive antibody
Middle Aged
Prognosis
practice
Hospitalization
Blood Group Incompatibility
Cohort
symbols
Female
Glomerular Filtration Rate
Adult
medicine.medical_specialty
desensitization
Renal and urogenital
nephrology
kidney transplantation
Human leukocyte antigen
clinical research/practice
Lower risk
Patient Readmission
Article
03 medical and health sciences
symbols.namesake
Clinical Research
Diabetes mellitus
quality of care/care delivery
medicine
Humans
Poisson regression
Transplantation
business.industry
economics
Organ Transplantation
health services and outcomes research
medicine.disease
Kidney Transplantation
Case-Control Studies
Kidney Failure
Chronic

Surgery
business
Follow-Up Studies
Zdroj: American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, vol 18, iss 3
ISSN: 1600-6143
Popis: Thirty percent of kidney transplant recipients are readmitted in the first month posttransplantation. Those with donor-specific antibody requiring desensitization and incompatible live donor kidney transplantation (ILDKT) constitute a unique subpopulation that might be at higher readmission risk. Drawing on a 22-center cohort, 379 ILDKTs with Medicare primary insurance were matched to compatible transplant-matched controls and to waitlist-only matched controls on panel reactive antibody, age, blood group, renal replacement time, prior kidney transplantation, race, gender, diabetes, and transplant date/waitlisting date. Readmission risk was determined using multilevel, mixed-effects Poisson regression. In the first month, ILDKTs had a 1.28-fold higher readmission risk than compatible controls (95% confidence interval [CI] 1.13-1.46; P 
Databáze: OpenAIRE