Hospital Cost of Complications After Kidney Transplant
| Autor: | Bruna Cristina Cardoso Martins, Marta Maria de França Fonteles, Elana Figueiredo Chaves, Kilvia Helane Cardoso Mesquita, Paula Frassinetti Castelo Branco Camurça Fernandes, Paulo Yuri Milen Firmino, Iwyson Henrique Fernandes da Costa |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Urinary system medicine.medical_treatment MEDLINE Kidney transplant Patient Readmission Postoperative Complications medicine Humans Hospital Costs Retrospective Studies Transplantation Rehabilitation business.industry Mean age Hospital cost Middle Aged medicine.disease Kidney Transplantation Male patient Surgery Female business Brazil Kidney disease Follow-Up Studies |
| Zdroj: | Transplantation proceedings. 52(5) |
| ISSN: | 1873-2623 |
| Popis: | Background Kidney transplant is considered the best treatment of rehabilitation for chronic kidney disease, but clinical and/or surgical complications may occur after transplant. The study aimed to assess the cost of complications after kidney transplant. Materials and Methods This is a descriptive, retrospective, and exploratory study that used data from Hospital Information System (“Sistema de Informacao Hospitalar”). We identified the patients with records of kidney transplant in the states of northern and northeastern Brazil in 2013. These patients were followed up through the records, specifically from 2013 to 2017. The variables analyzed were sex, age, and period after transplant of readmissions (early, intermediate, or late), the main complications within 4 years after the kidney transplant, and cost of hospital admissions. Results There were 893 patients with records of kidney transplant in the regions of the study. During the follow-up period, 319 patients had complications. Most hospital readmissions involved male patients (63.6%; n = 203). Mean age was 45 (SD, 15.14) years. Patients developed complications mainly in the early period after transplant (70.22%; n = 224). The number of hospital admissions was 758. The main complications were regarding urinary tract (72.02%; n = 546), infections (19.79%; n = 150), and vascular and/or pulmonary (2.90%; n = 22). The total cost for the treatment of these complications was US $528,329.51. Conclusions By analyzing the data it was possible to identify that there is a significant cost involved in the treatment of complications after kidney transplant. |
| Databáze: | OpenAIRE |
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