Logo Annals of Transplantation Logo Annals of Transplantation Logo Annals of Transplantation

21 May 2009

Analysis of risk factors of postoperative haemodialysis treatment in kidney transplant recipients

M Zukowski, R Bohatyrewic, J Biernawska, K Katarzyna, M Zegan, M Ostrowski, I Sulikowski, K Kedzierska

Ann Transplant 2009; 14(1): 48-48 :: ID: 880374

Abstract

Background: The quality of the transplanted kidney depends on many factors
that may debilitate its function, what can result in the necessity of haemodialysis treatment in the post operative period. Aims: Determining the influence of selected risk factors on the duration and number of haemodialysis post transplantation.
Material/Methods: Hemodynamic data was obtained from a group of 146
multi-organ donors. Group of 232 kidney transplant recipients was included in this study. Influence of the following factors on the duration and number of haemodialysis sessions in the postoperative period was analyzed: PRA value, HLA matching, length of haemodialysis prior to transplantation, donor's age and risk factors: MAP, CVP, PCWP, SVRI, dopamine infusion and CIT. Shapiro-Wilk, Kruskal-Wallis, Chi2 with the Yates correction and Fisher tests and analysis of correlation and regression were used, p=0.05.
Results: Decreased duration and fewer dialysis sessions were observed in the recipients, who had their kidney transplanted from the donors with MAP >70 mmHg, PCWP >12 mmHg and dopamine infusion <10 μg/kg/min. Positive correlation was observed between BSA, dopamine dose infusion, recipient's
age, length of haemodialysis prior to transplantation and the duration of the haemodialysis required post transplant.
Conclusions: 1) Increased MAP and PCWP in the donor both have a major influence on decreasing the duration of haemodialysis of kidney recipient post transplantation; 2) Increased BSA, dopamine dose infusion requirements in the donor, age and duration of haemodialysis before transplantation substantially prolong the duration of haemodialysis post transplantation.

Keywords: Kidney Transplantation, Organ Procurement

Add Comment 0 Comments

In Press

12 Feb 2024 : Original article  

No Prognostic Impact of Graft-to-Recipient Weight Ratio on Hepatocellular Carcinoma Recurrence Following Li...

Ann Transplant In Press; DOI: 10.12659/AOT.942767  

21 Feb 2024 : Original article  

Use of LCP-Tacrolimus (LCPT) in Kidney Transplantation: A Delphi Consensus Survey of Expert Clinicians

Ann Transplant In Press; DOI: 10.12659/AOT.943498  

Most Viewed Current Articles

05 Apr 2022 : Original article  

Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver Transplantation

DOI :10.12659/AOT.935604

Ann Transplant 2022; 27:e935604

12 Jan 2022 : Original article  

Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...

DOI :10.12659/AOT.934738

Ann Transplant 2022; 27:e934738

22 Nov 2022 : Original article  

Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...

DOI :10.12659/AOT.937988

Ann Transplant 2022; 27:e937988

15 Mar 2022 : Case report  

Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...

DOI :10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358