Outcomes of patients coming to the emergency department after kidney transplantation

Authors : Nezih KAVAK, Mehmet ALTAN

Pages : 499-503

Doi:10.32322/jhsm.1054011

View : 22 | Download : 11

Publication Date : 2022-03-15

Article Type : Research Paper

Abstract :Introduction: In kidney transplantation insert ignore into journalissuearticles values(KT); practice, improvements in patient care led to increased graft and patient survival. This study aimed to determine the symptomatology of KT patients presenting to emergency department insert ignore into journalissuearticles values(ED);, their final diagnoses, and outcomes. Material and Method: Data including demographic data insert ignore into journalissuearticles values(age and gender);, chief complaints insert ignore into journalissuearticles values(CCs);, number of ED presentations, ED presentation date, KT date, donor type insert ignore into journalissuearticles values(live/deceased);, patient disposition insert ignore into journalissuearticles values(discharge/admission);, final diagnosis, and outcomes insert ignore into journalissuearticles values(acute renal graft dysfunction/graft loss/death); were retrieved and analyzed. Results: Twenty-five KT patients presented to ED during the study period. These patients presented to ED for 46 times with 50 CCs. Fever was the most frequent CC insert ignore into journalissuearticles values(20%);. The ED presentation led to a final diagnosis of infection in 32 presentations insert ignore into journalissuearticles values(69.4%);. The most frequent infection was urinary tract infection insert ignore into journalissuearticles values(UTI); insert ignore into journalissuearticles values(26.1%); followed, by acute gastroenteritis insert ignore into journalissuearticles values(17.4%); and upper respiratory tract infection insert ignore into journalissuearticles values(17.4%);. Acute graft dysfunction was the most common “non-infectious diagnosis” insert ignore into journalissuearticles values(17.4%); followed by cardiovascular disease insert ignore into journalissuearticles values(8.5%);. The ED presentation led to admission in 32.6% insert ignore into journalissuearticles values(15/46); of the cases. Among 15 admissions, 7 insert ignore into journalissuearticles values(46.7%); were due to UTI. No rejections, graft loss, or mortality occurred following any ED presentations. Conclusion: When evaluating KT patients in the ED, physcians should bear in mind that they could have an infectious pathology that is often associated by fever, also they should check for acute graft dysfunction and cardiac pathologies.
Keywords : Emergency, kidney, transplantation