Dialysis Adequacy After Deceased Donor Transplantation

Dialysis Adequacy After Deceased Donor Transplantation

Author Guimaraes-Souza, N. K. Autor UNIFESP Google Scholar
Dalboni, Maria Aparecida Autor UNIFESP Google Scholar
Batista, M. C. Autor UNIFESP Google Scholar
Canziani, M. E. Autor UNIFESP Google Scholar
Camara, N. O. S. Autor UNIFESP Google Scholar
Pacheco-Silva, A. Autor UNIFESP Google Scholar
Medina-Pestana, J. O. Autor UNIFESP Google Scholar
Cendoroglo, M. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Delayed graft function (DGF) is defined as the necessity for dialysis during the first week after transplantation. This study sought to describe patterns of dialysis prescription and evaluate the impact of dialysis dose in acute rejection. Among 82 patients who received a deceased donor kidney transplant, clinical and laboratory data were evaluated at the moment of dialysis indication. Prescribed and delivered dialysis doses (Kt/V and urea reduction ratio) were analyzed during the first dialysis and the first week (Kt/V) after transplantation. We examined the association between Kt/V and acute rejection. Prescribed Kt/V at the first dialysis session was adequate (2.24 +/- 0.51). However, delivered Kt/V was inadequate (0.75 +/- 0.38). Prescribed and delivered Kt/V during the first week after transplantation were suboptimal, namely, 2.45 +/- 1.52 and 1.56 +/- 0.99, respectively. Dialysis dose had no impact on the occurrence of an acute rejection episode. Among DGF patient, dialysis was prescribed late and a low dose was achieved.
Language English
Date 2009-05-01
Published in Transplantation Proceedings. New York: Elsevier B.V., v. 41, n. 4, p. 1210-1213, 2009.
ISSN 0041-1345 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 1210-1213
Origin http://dx.doi.org/10.1016/j.transproceed.2009.03.030
Access rights Closed access
Type Article
Web of Science ID WOS:000266430900036
URI http://repositorio.unifesp.br/handle/11600/31504

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