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2013, Number 4

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Med Sur 2013; 20 (4)

Trasplante renal: epidemiología y características clínicas en cinco años

Gómez-Sánchez J, Gabilondo-Pliego B, Alessio-Robles LP, Manzano RMC, Bordes-Aznar J
Full text How to cite this article

Language: Spanish
References: 4
Page: 214-216
PDF size: 129.68 Kb.


Key words:

Renal transplantation, Epidemiology, Clinical features.

ABSTRACT

Introduction. Kidney transplantation is the treatment of choice for patients with end-stage renal failure requiring replacement therapy. Objective. To describe the epidemiological and clinical characteristics of renal transplant patients in our hospital. Material and methods. We designed a retrospective study in which we reviewed the electronic records of patients diagnosed with renal transplant from 2008 to 2012. Data are described as central tendency and dispersion measures. Results. Thirty five kidney transplants were performed, of which 54% (n = 19) were man and 46% (n = 16) women, the average age was 50 years, 71% (n = 25) were hypertensive, the most prevalent cause of chronic kidney failure was diabetes mellitus in 34% (n = 12), the mean age of patients with chronic kidney disease was 3.5 years, 94% (n = 33) of patients led replacement therapy, 51% (n = 18) underwent transplantation live related donor, 8.5% (n = 3) of no live related donor and 40% (n = 14) CD. The 5.7 % (n = 2) were retransplanted, only one patient required two days of care in the Intensive Care Unit, the average of In-Hospital Stay was 9.8 days. We report two infections, 2 acute tubular necrosis, 3 patients with bleeding, 0 urological complications and 0 mortality. 91% (n = 33) were given postoperative steroid and 100% (n = 35) immunosuppressive. A percentage of rejection of 11% was reported, of which 25% (n = 1) was hyperacute and 75% (n = 3) acute. Conclusion. Renal transplantation in our hospital has increased in recent years.


REFERENCES

  1. Halawa A. The third and fourth renal transplant; technically challenging, but still a valid option. Ann Transplant 2012; 17(4): 125-32.

  2. Long-term survival rate of kidney graft and associated prognostic factors: A retrospective cohort study, 1994-2011. Ann Transplant 2013; 18: 153-60.

  3. CENATRA. Estado anual de donación y trasplantes en México anual 2012. SIRNT 2013.

  4. Disponible en: www.cenatra.salud.gob.mx/interior/trasplante_ estadisticas




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Med Sur. 2013;20