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
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