Supervivencia del injerto renal en el Hospital de Especialidades José Carrasco Arteaga en el período 2007-2018

Abstract

Background: kidney transplantation is the most effective replacement therapy for patients with end-stage chronic kidney disease. There are multiple sociodemographic and clinical factors involved in transplant survival and function, therefore, it is important to know the impact of these factors to improve the survival of the kidney graft. Objective: to determine the survival time of the renal graft in the patients of the José Carrasco Arteaga Specialty Hospital in the period 2007-2018. Material and Method: survival study, the sample was obtained from kidney transplant recipients who attended regular check-ups. The data was collected in forms previously developed, processed and analyzed in the IBM SPSS 25.0 statistical package for Windows. Results: of the 142 patients who received a kidney transplant, 41 patients lost the kidney graft, with a mean follow-up of 43 months, the overall survival was 8.5 years (95% CI: 7.5-9.4). Cold ischemia time greater than 18 hours, delayed graft function, acute rejection, chronic graft nephropathy, surgical wound infection, septic shock, and vascular thrombosis are risk factors associated with graft survival and function. Conclusion: the survival time of the renal graft in the group of patients who received a transplant at the José Carrasco Arteaga Specialty Hospital. revealed optimal results. Knowing the risk factors associated with graft survival will help us to intervene in a timely manner.