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Revista de Enfermería del Instituto Mexicano del Seguro Social

2019, Number 3

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Rev Enferm IMSS 2019; 27 (3)

Complications of patients with kidney transplantation in the first 48 hours in a third level hospital

Gómez-Sánchez MÁ, Gómez-Ziga AG, Carcencia-Barajas C, Ortiz-Luis SR

Language: Spanish
References: 21
Page: 154-162
PDF size: 282.16 Kb.


ABSTRACT

Introduction: Kidney transplantation is the therapy of choice in the majority of patients with end-stage chronic renal failure. The increasing knowledge of immunology, the improvement in surgical techniques, the use of better immunosuppressive drugs and post-transplant follow-up care have reduced the incidence of graft loss and improved the patients’ quality of life after kidney transplantation.
Objective: To identify the most frequent complications in the first 48 hours in patients who underwent kidney transplantation in a third level hospital.
Methods: Cross-sectional, descriptive study in a random sample of 41 patients with kidney transplantation registered from January 5 to September 5, 2017, in a third level hospital from the city of Veracruz. The information was collected from the clinical record as an analysis unit. Data were analyzed with measures of central tendency and dispersion.
Results: 65.9% of patients were male; the average age was 35 ± 11.3 years. The main cause of chronic renal injury was undetermined etiology (53.7%) and renal hypoplasia (14.6%). The reason for discharge was improved health in 97.6% of patients. Only 10% of patients presented complications, mainly internal saphenous vein thrombosis (30%), graft thrombosis (3%), deep venous thrombosis of the femoral segment (2%) and decreased renal vascular flow of the lower pole (2%).
Conclusion: The complications that occurred in patients who underwent kidney transplantation in the first 48 hours were vascular.


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