Hospitalisation after Renal Transplantation: A Single Centre Cross-Sectional Study
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 10
Abstract
Background: Unplanned hospital readmissions following index medical and/or surgical events are common and costly. Readmission adds to patient burden and puts patients at increased risk of transition-of-care errors, such as medication regimen errors. Reducing readmissions through specific interventions has the potential to both lower the cost associated with readmissions and improve clinical outcomes. Aim of the study: Despite the comprehensive studies evaluating hospital readmissions, there is a paucity of data evaluating hospital readmissions after kidney transplantation. Thus we had conducted this study with the aim of this study is to investigate the cause of hospital readmission following kidney-only transplantation. Materials and methods: This is a retrospective single centre observational study that included all kidney-only transplant recipients, admitted at department of Nephrology, Gauhati medical college and hospital (GMCH), Assam, India, from April 2011 to March 2016, irrespective of the centre of transplant. Demographic and baseline characteristics of the study population were taken from the medical record database. The cause of hospital readmissions were grouped into following categories: infectious events, surgical issues, drug complication, cardio-vascular events, graft injury (acute rejection/chronic allograft injury/graft failure), complication of Diabetes Mellitus, recurrent disease, haematological events, New onset diabetes after transplant (NODAT), others. Results: During the study period, 142 kidney transplant patients met the criteria to be included in the analyses. Out of 142, 115 patients were admitted once and 27 patients were admitted more than once. Most common cause of admission was infections seen in 47.9% cases. Those who are admitted more than once are younger (p < 0.001), had fewer co-morbid condition (p & lt; 0.001), less frequently diabetic (p < 0.001) and had shorter initial hospital stay (during transplant) (p < 0.001). Conclusion: According to our study infections are most common cause of hospital readmission post-transplant, and factors associated with repeated admissions post renal transplant includes older age, multiple co-morbidities, diabetes, longer dialysis vintage years and prolonged initial hospital stay.
Authors and Affiliations
Hamad Jeelani
Keywords
Related Articles
- EP ID EP519631
- DOI -
- Views 114
- Downloads 0
Escalation assessment for biomass generation in BG11 medium of Chlorella minutissima
Extract of C. minutissima confirms the production of biodiesel from lipid produced through microalgae. Also suggests the production of biodiesel, using microalgae, grown in presence of wastewater and exhaust gas from ind...
Mycological Profile of Rhinosinusitis in a Tertiary Care Centre
Fungal rhinosinusitis is a common entity encountered with patients admitted in the dept. of ENT. It is caused by a variety of filamentous fungi which can be isolated in culture on saboraud’s Dextrose agar. The disease ha...
Red Cell Alloimmunisation in Multitransfused Cancer Patients in a Tertiary Care Hospital in Northern India.
Background: Alloantibody formation against red cell antigen is a common complication of transfusion therapy. Data on the prevalence of alloimmunization in oncology patients is limited. In this study, we determine the fre...
A Cross Sectional Study of Vaccine Wastage Assessment in a District Hospital of Central India.
Background: India has one of the largest Universal Immunization Programs (UIP) in the world and is available for all children in the country free of charge. Since its inception, it is accomplishing a desired aim of child...
Peculiarities of Bronchial Hyperactivity in Children with the Phenotype of Late Onset Asthma Depending On Acetylation Status.
Goal: To assess the indices of non-specific reactivity of the bronchi in children suffering from asthma of a late onset considering acetylated status of patients. Material and methods: 72 children suffering from BA of...