Complications of patients with kidney transplantation in the first 48 hours in a third level hospital
Keywords:
Acute Kidney Injury, Kidney Transplantation/complications, Graft Rejection, Hypercute RejectionAbstract
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 inmunosuppressive 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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