The association between length of post-kidney transplant hospitalization and long-term graft and recipient survival

Clinical Transplantation
Shih-jui LinAlexander S Goldfarb-Rumyantzev

Abstract

There has been a general trend towards shortened length of post-kidney transplant hospitalization (LOH). The decision regarding patients's discharge from the hospital theoretically may be based on several factors, including, but not limited to, patient well being, insurance status, family situation and other, mostly socio-economic factors, as opposed to hard medical evidence. However, the appropriate LOH in kidney transplant recipients is not well studied regarding long-term outcomes. This study retrospectively analysed the association between LOH and graft and recipient survival based on United States Renal Data System dataset. In total, 100,762 patients who underwent transplant during 1995-2002 were included. Kaplan-Meier survival analysis and Cox models were applied to the whole patient cohort and on sub-groups stratified by the presence of delayed graft function, patient comorbidity index and donor type (deceased or living). In recipient survival, both short (<4 d) and long (>5 d) LOH showed a significant adverse effect (p < 0.01) on survival times. In the analysis of graft survival, long LOH (>or=2 wk) also showed significant adverse effects (p < 0.001) on survival times. However, short LOH (<4 d) did not reach statistical...Continue Reading

References

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Citations

May 8, 2010·Nature Reviews. Urology·Gennady Bratslavsky, W Marston Linehan
Nov 1, 2011·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Jalaj GargAlexander S Goldfarb-Rumyantzev
Jul 17, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Seth WrightAlexander S Goldfarb-Rumyantzev
Sep 25, 2012·The Journal of Urology·Nnenaya Q AgochukwuGennady Bratslavsky
Nov 13, 2007·The Journal of Urology·Gennady BratslavskyPeter A Pinto
May 26, 2007·Transplantation Proceedings·M NaderiV Pourfarziani
May 17, 2008·Clinical Transplantation·Hongying TangAlexander S Goldfarb-Rumyantzev
Jun 23, 2016·The Journal of Surgical Research·Aravind ChandrasekaranSusan Moffatt-Bruce
May 8, 2010·Renal Failure·Amir Almasi HashianiSeyed Ali Malek-Hosseini
Jul 24, 2018·Canadian Journal of Kidney Health and Disease·Anne TsampalierosDean Fergusson

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