Artículos de revistas
Long-term outcomes with expanded criteria donors in kidney transplantation Resultados a largo plazo en trasplante renal de donantes con criterios expandidos
Fecha
2016Registro en:
Revista Medica de Chile, Volumen 144, Issue 1, 2018, Pages 22-29
07176163
00349887
10.4067/S0034-98872016000100004
Autor
Valjalo, Ricardo
Reynolds, Enrique
Herrera, Patricia
Espinoza, Óscar
Marchant, González, Fernando
Institución
Resumen
© 2016, Sociedad Medica de Santiago. All right reserved. Background: Kidney transplantation of expanded criteria deceased donors (DCE) has become a common clinical practice. However, DCE outcomes are inferior compared to kidney transplants from standard criteria donors (DCS). Aim: To evaluate intermediate and long-term outcomes of DCE transplanted patients. Material and Methods: Cadaveric kidney transplants were evaluated using a retrospective cohort of eight consecutive years. Complications and longterm function of the transplant were assessed in DCE and DCS kidney recipients. Results: Of 213 patients analyzed, 34 (16%) underwent DCE transplantation. DCS recipients spent more time on the waiting list for transplantation (p = 0.04). DCE recipients showed higher frequency of surgical complications (p = 0.04), vascular complications (p = 0.02), acute transplant rejection (p = 0.05), and hospitalizations (p = 0.01). Creatinine (mg/dL) in DCE and DCS recipients was 2.3 and 1.5 respectively