Changes in Frequency of Delayed Graft Function in Deceased Donor Renal Transplant Recipient in a Tertiary Care Center in Mexico



Título del documento: Changes in Frequency of Delayed Graft Function in Deceased Donor Renal Transplant Recipient in a Tertiary Care Center in Mexico
Revista: Revista de investigación clínica
Base de datos: PERIÓDICA
Número de sistema: 000390726
ISSN: 0034-8376
Autors: 1
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Institucions: 1Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Departamento de Trasplantes, México, Distrito Federal. México
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Període: Mar-Abr
Volum: 67
Número: 2
Paginació: 89-97
País: México
Idioma: Inglés
Tipo de documento: Estadística o encuesta
Enfoque: Analítico
Resumen en inglés Delayed graft function (DGF) is defined as the need for dialysis within the first seven days of transplantation. The frequency of DGF has decreased in the last five years compared with the previous 20 years of the kidney transplant program at a Mexican referral hospital. Objective: To determine the incidence and risk factors for DGF in the past five years (2009-2013). Methods: We analyzed a retrospective cohort of renal transplant recipients from deceased donors at our hospital between March 2009 and May 2013 (Period 2), and compared the results with a previously evaluated cohort (Period 1, between January 1990 and February 2009). Results: During the analyzed period, 78 deceased donor transplants were performed. The frequency of DGF was 9%. Multivariate analysis showed that recipient older age (OR: 1.074419; 95% CI: 1.0009-1.155116; p = 0.05), transoperative amines administration (OR: 7.73; 95% CI: 1.037-57.6; p = 0.046), and hypotension during surgery in the recipient (OR: 11.6; 95% CI: 1.33-100.8; p = 0.026) were risk factors for DGF. Conclusion: The incidence of DGF has significantly decreased in the past five years when compared to the previous 20 years in our hospital
Disciplines Medicina
Paraules clau: Cirugía,
Nefrología,
Trasplantes,
Riñones,
Supervivencia,
Injertos,
Función retardada
Keyword: Medicine,
Nephrology,
Surgery,
Transplantation,
Kidneys,
Survival,
Grafts,
Delayed function
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