Early Complications After Kidney Transplantation in Patients Aged 60 Years and Older: A Single-Center, Paired-Kidney Analysis

Autor: Damian Skrabaka, Jacek Ziaja, Aureliusz Kolonko, Aleksander Owczarek, Jarosław Czerwiński, Andrzej Wiecek, Szymon Franczyk, Z Valenta, Robert Król, Sylwia Sekta
Rok vydání: 2020
Předmět:
Zdroj: Transplantation Proceedings. 52:2376-2381
ISSN: 0041-1345
Popis: As the population ages, the number of people suffering from cardiovascular diseases (CVD) and diabetes mellitus (DM) increases. The coexistence of these diseases can affect the results of kidney transplantation (KT) in the elderly. The aim of this study was to analyze surgical and nonsurgical complications in the early period after KT and to identify the factors that influence their development in recipients aged ≥ 60 years compared to younger recipients 60 years.One hundred seventy-five recipients of KT ≥ 60 years and 175 recipients of KT 60 years who received kidneys from the same deceased donor were enrolled into the study. The incidence of surgical and nonsurgical complications, factors that may influence their development, early graft function, and patient and kidney-graft survival were analyzed during a 3-month follow-up period. Donor sources complied with the Helsinki Congress and Istanbul Declaration and organs were not procured from prisoners and individuals who were coerced or paid.Older recipients were characterized by higher body mass index ± SD (26.1 ± 3.5 vs 24.7 ± 3.4 kg/mDespite higher co-incidence of CVD and DM, the risk of surgical and nonsurgical complications in elderly recipients is comparable to younger recipients in the early period after KT.
Databáze: OpenAIRE