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Revista de Nefrología, Diálisis y Trasplante

ISSN 0326-3428 (Print)
Órgano de difusión científica de la Asociación Nefrológica de Buenos Aires
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2024, Number 1

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Rev Nefrol Dial Traspl 2024; 44 (1)

Rehospitalization after kidney transplantation

Claros IA, Magenta M, Rodríguez CLM, Fragale G, Tisi BM
Full text How to cite this article

Language: Spanish
References: 12
Page: 18-23
PDF size: 256.25 Kb.


Key words:

Rehospitalization, kidney transplant, early readmission.

ABSTRACT

Introduction: Rehospitalization after renal transplantation predicts morbidity and mortality, is associated with higher costs, and indicates health care quality. Identifying risk factors for rehospitalization makes it possible to implement measures that improve the quality of care and develop interventions in the pre-transplant stage. Objectives: Establish the incidence of early rehospitalization in renal transplantation and evaluate variables associated with rehospitalization and its impact on the recipient and graft. Materials and Methods: Observational, longitudinal, retrospective study. We analyzed a cohort of adult kidney transplant patients from 01/01/2006 to 12/31/2018. Results: 196 adult kidney transplant patients were included in the study. The incidence of early rehospitalization was 17.8% (n=35). Patient and graft survival were similar in both groups. The cause of death was predominantly infectious 52% (n=22), while the cause of graft loss was chronic allograft nephropathy 24% (n=14) and death with a functioning graft 48% (n=28). Conclusions: The incidence of early rehospitalization after renal transplantation in our center is low compared to other publications. Our study did not show that readmission after renal transplantation is associated with worse outcomes.


REFERENCES

  1. Wolfe RA, Ashby VB, Milford EL, Ojo AO, EttengerRE, Agodoa LYC, Held PJ, Port FK: Comparisonof mortality in all patients on dialysis, patients ondialysis awaiting transplantation, and recipients of afirst cadaveric transplant. N Engl J Med 341:1725–1730, 1999.

  2. McAdams-Demarco MA, Grams ME, Hall EC, et al.Early hospital readmission after kidney transplantation:patient and center-level associations. Am J Transplant.2012; 12:3283–3288.

  3. McAdams-Demarco MA, Grams ME, King E, DesaiNM, Segev DL. Sequelae of early hospital readmissionafter kidney transplantation. Am J Transplant.2014;14(2):397‐403.

  4. Harhay M, Lin E, Pai A, et al. Early rehospitalizationafter kidney transplantation: assessing preventabilityand prognosis. Am J Transplant. 2013;13(12):3164‐3172.

  5. Lubetzky M, Yaffe H, Chen C, Ali H, Kayler LK.Early readmission after kidney transplantation:examination of discharge‐level factors. Transplantation.2016;100(5):1079‐1085.

  6. Kinza Iqbal, Muhammad Hasanain, Sawai SinghRathore, Ayman Iqbal et al. Incidence, predictors, andoutcomes of early hospital readmissions after kidneytransplantation: Systemic review and meta-analysis.Front Med. 2022 Nov 4;9:1038315. doi: 10.3389/fmed.2022.1038315

  7. Mohammadi K, Khajeh B, Dashti-Khavidaki S,Shab-Bidar S. Association between cumulativerATG induction doses and kidney graft outcomesand adverse effects in kidney transplant patients:a systematic review and meta-analysis. ExpertOpin Biol Ther. 2021 Sep;21(9):1265-1279. doi:10.1080/14712598.2021.1960978. Epub 2021 Aug 4.PMID: 34304664.

  8. Taber DJ, Pilch NA, McGillicuddy JW, Bratton CF,Lin A, Chavin KD, et al. Improving the perioperativevalue of care for vulnerable kidney transplant recipients.J Am Coll Surg. (2013) 216:668–78. doi: 10.1016/j.jamcollsurg.2012.12.023

  9. Leppin AL, Gionfriddo MR, Kessler M, Brito JP, MairFS, Gallacher K, et al. Preventing 30-day hospitalreadmissions: a systematic review and meta-analysis ofrandomized trials. JAMA Intern Med. (2014) 174:1095–107. doi: 10.1001/jamainternmed.2014.1608

  10. Fragale G, Mainetti L, Montal S, Beitia V, LovisoloP, Karl A et al. Plan estratégico para la reducción de laestancia hospitalaria en trasplante renal. J Healthc QualRes. 2018;33(6):329-333

  11. Tapiawala SN, Tinckam KJ, Cardella CJ, Schiff J,Cattran DC, Cole EH, Kim SJ. Delayed graft functionand the risk for death with a functioning graft. J AmSoc Nephrol. 2010 Jan;21(1):153-61. doi: 10.1681/ASN.2009040412. Epub 2009 Oct 29. PMID:19875806; PMCID: PMC2799285

  12. Yarlagadda SG, Coca SG, Formica RN, Poggio ED,Parikh CR. Association between delayed graft functionand allograft and patient survival: a systematicreview and meta-analysis. Nephrol Dial Transplant.2009;24(3):1039-1047.




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Rev Nefrol Dial Traspl. 2024;44