Complicaciones clínicas en pacientes sometidos a trasplante renal en el Hospital José Carrasco Arteaga. Enero 2007- marzo 2020

Abstract

Background: kidney transplantation provides patients with chronic kidney disease with better survival, cost and quality of life than kidney replacement treatments, however, it can present clinical complications that affect the functionality and survival of the kidney graft. Objective: identify clinical complications in patients undergoing kidney transplantation at the José Carrasco Arteaga Hospital. January 2007- March 2020. Methodology: descriptive cross-sectional study, approved by the Bioethics Committee of the Health Area, clinical and virtual records of patients undergoing kidney transplantation and under follow-up at the José Carrasco Arteaga Hospital from 2007 to 2020 were reviewed. Data were processed and analyzed in free software SPSS. For qualitative variables, frequencies and percentages were used, and mean and standard deviation were used for quantitative variables. Results: the frequency of immediate complications to kidney transplantation was 35.8% and the early 34%, they were more frequent in males, in patients aged 50 or more years, time greater than 10 hours of cold ischemia time on the list of wait and with renal replacement therapy. 75% of transplant patients presented late complications, more common in patients on hemodialysis, rural residence, and prolonged cold chain. The most frequent complications in the 3 periods were infections. Mortality associated with surgery was 5.6%.

Conclusions: the most frequent complications were urinary tract infections followed by acute graft rejection.