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Volume: 4 Issue: 2 December 2006 - Supplement - 1

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LONG TERM PATIENT AND GRAFT SURVIVAL AFTER NONFATAL HOSPITALIZATION AFTER KIDNEY TRANSPLANTATION

A large number of kidney transplant recipients are annually hospitalized due to various etiologies after transplantation, some pass away and some lose their kidneys. There are many reports regarding the causes and short term effects of hospitalizations on these subjects, but literature lacks data on the long term effects of such re-hospitalizations on persons discharged with normal renal function. A follow-up of 253 kidney transplant recipients during 2000-2003 was performed. All patients had been hospitalized some time after transplantation and, subsequently, discharged with normal renal function. Mean duration of follow-up was 38.94±11.21 months. Patient and graft survival were recorded at 6 months, 1, 2 and 5 years after their discharge. Also, data regarding time of recurrent hospitalizations, if any, was recorded. Patient survival at 6 months, 1, 2 and 5 year intervals was 98%, 97%, 95% and 93%, respectively. Graft survival at the mentioned intervals was 88%, 82%, 77% and 63%, respectively. Out of 253 patients, 54 (21.9%) subjects did not have recurrent hospitalization, while 193 (78.1%) patients had recurrent hospitalization(s) during follow-up. Number of re-hospitalizations was 2.6± 2 times in more occasions on average (range: 1-11). Mean duration from the first recurrent hospitalization to the second one was 11.16±19.86 months. This study shows that appropriate treatment of the cause of hospitalization in kidney transplant recipients and discharging them with normal renal function, will give the chance of long term survival to the patients. This study emphasizes on the importance of inpatient care and thus improving patient and graft survival in the long run.



Volume : 4
Issue : 2
Pages : 81


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