Details

Autor(en) / Beteiligte

• Molina, M
• Apaza, J
• González Monte, E
• Gutiérrez Martínez, E
• Sevillano, A.M
• Marín, J.P
• Polanco, N
• Hernández, A
• Praga, M
• Andrés, A

Titel

Results of Kidney Transplantation From Deceased Donors With Acute Kidney Injury

Ist Teil von

• Transplantation proceedings, 2015, Vol.47 (1), p.42-44

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2015

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Background Different strategies have been initiated to shorten the waiting list time to receive a kidney transplant. Donors with acute kidney injury (AKI) may be a new option. Methods Fifty-nine patients received a kidney transplant from an AKI donor defined as having serum creatinine >2 mg/dL at the time of organ procurement. They were compared with a transplant group with normal kidney function defined as creatinine <1.5 mg/dL organ procurement in the same time period, paired by donor and recipient age (control group). Initial evolution, at 1 year, and at the end of the follow-up were evaluated. Results The AKI donor group had greater delayed graft function (68% versus 36%, P  < .01). Graft and recipient survival were similar in both groups at 1 year (92% versus 88%, P  = NS; 97% versus 98%, P  = NS) and at the end of follow-up (66% versus 66%, P  = NS; 90% versus 88%, P  = NS). Serum creatinine at 1 year and at the end of the follow-up did not show any differences (1.4 ± 0.5 versus 1.4 ± 0.7 mg/dL, P  = NS; 1.4 ± 0.5 versus 1.6 ± 0.9 mg/dL, P  = NS). Conclusions The transplants from donors with AKI showed greater incidence of delayed graft function, but this did not affect the short- or long-term prognosis of the graft or recipient. This type of donor may be a source of acceptable kidneys.