Assessment of Risk Factors for Hospital Readmission after Kidney Transplantation
Background and Purpose: Hospital readmission after kidney transplantation is a real challenge for both patients and healthcare systems. Assessment of the risk factors of readmission after kidney transplantation is vital and can reduce morbidity and cost in transplant recipients and donors. The aim o...
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Mazandaran University of Medical Sciences
2021-05-01
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doaj-3ebc2a6697094dfc82dc0dfafec3c3a92021-07-06T12:16:44ZengMazandaran University of Medical Sciencesعلوم بهداشتی ایران2322-553X2322-47972021-05-019218Assessment of Risk Factors for Hospital Readmission after Kidney TransplantationMahmoud Tavakkoli0Amir Yarahmadi1Mahin Ghorban Sabbagh2Mona Najaf Najafi3Milad Tavakoli4Salman Soltani5 Kidney Transplantation Complications Research Center Department of Clinical Biochemistry, Faculty of Medicine Kidney Transplantation Complications Research Center Clinical Research Units, Faculty of Medicine Kidney Transplantation Complications Research Center Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Background and Purpose: Hospital readmission after kidney transplantation is a real challenge for both patients and healthcare systems. Assessment of the risk factors of readmission after kidney transplantation is vital and can reduce morbidity and cost in transplant recipients and donors. The aim of the current study was to determine the risk factors of hospital readmission in patients undergoing kidney transplantation in Montaserieh Hospital of Mashhad, northeast of Iran. Methods: This retrospective study included 523 first kidney transplant patients between January 2013 and March 2019 from the Montaserieh Hospital Information System (HIS) of Mashhad, Iran. Every-time readmission was the study primary outcome. Donors and recipientchr('39')s demographic data, recipientchr('39')s comorbidities, reasons for end-stage renal disease (ESRD), panel reactive antibody (PRA) status, dialysis parameters, cold ischemic time, and delayed graft function (DGF) were the potential risk factors. Statistical analysis was done using chi-square and Studentchr('39')s t-test. Results: Data from 523 patients were assessed for potential eligibility. Based on the exclusion criteria, data from 479 patients were included in the final analysis. 174 (36.3%) patients were never readmitted, and 305 (63.7%) were readmitted at least once post-discharge. 39 (12.8%) were readmitted within the first month post-discharge. Older age, sex, higher prevalence of comorbidities, diabetes and hypertension, duration of primary disease before transplantation, hemodialysis and duration of pre-transplant dialysis, mean pre-transplant platelet count, intraoperative complications, increased cold ischemic time, and delayed graft function was associated with a higher prevalence of readmission (p < 0.05). Conclusion: Our results showed that different independent variables and patientschr('39') comorbidities were important risk factors for readmission after kidney transplantation. Early prediction of these risk factors could result in the prevention of readmission in patients undergoing kidney transplantation.http://jhs.mazums.ac.ir/article-1-743-en.htmlkidney transplantation readmission risk factors comorbidity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mahmoud Tavakkoli Amir Yarahmadi Mahin Ghorban Sabbagh Mona Najaf Najafi Milad Tavakoli Salman Soltani |
spellingShingle |
Mahmoud Tavakkoli Amir Yarahmadi Mahin Ghorban Sabbagh Mona Najaf Najafi Milad Tavakoli Salman Soltani Assessment of Risk Factors for Hospital Readmission after Kidney Transplantation علوم بهداشتی ایران kidney transplantation readmission risk factors comorbidity |
author_facet |
Mahmoud Tavakkoli Amir Yarahmadi Mahin Ghorban Sabbagh Mona Najaf Najafi Milad Tavakoli Salman Soltani |
author_sort |
Mahmoud Tavakkoli |
title |
Assessment of Risk Factors for Hospital Readmission after Kidney Transplantation |
title_short |
Assessment of Risk Factors for Hospital Readmission after Kidney Transplantation |
title_full |
Assessment of Risk Factors for Hospital Readmission after Kidney Transplantation |
title_fullStr |
Assessment of Risk Factors for Hospital Readmission after Kidney Transplantation |
title_full_unstemmed |
Assessment of Risk Factors for Hospital Readmission after Kidney Transplantation |
title_sort |
assessment of risk factors for hospital readmission after kidney transplantation |
publisher |
Mazandaran University of Medical Sciences |
series |
علوم بهداشتی ایران |
issn |
2322-553X 2322-4797 |
publishDate |
2021-05-01 |
description |
Background and Purpose: Hospital readmission after kidney transplantation is a real challenge for both patients and healthcare systems. Assessment of the risk factors of readmission after kidney transplantation is vital and can reduce morbidity and cost in transplant recipients and donors. The aim of the current study was to determine the risk factors of hospital readmission in patients undergoing kidney transplantation in Montaserieh Hospital of Mashhad, northeast of Iran.
Methods: This retrospective study included 523 first kidney transplant patients between January 2013 and March 2019 from the Montaserieh Hospital Information System (HIS) of Mashhad, Iran. Every-time readmission was the study primary outcome. Donors and recipientchr('39')s demographic data, recipientchr('39')s comorbidities, reasons for end-stage renal disease (ESRD), panel reactive antibody (PRA) status, dialysis parameters, cold ischemic time, and delayed graft function (DGF) were the potential risk factors. Statistical analysis was done using chi-square and Studentchr('39')s t-test.
Results: Data from 523 patients were assessed for potential eligibility. Based on the exclusion criteria, data from 479 patients were included in the final analysis. 174 (36.3%) patients were never readmitted, and 305 (63.7%) were readmitted at least once post-discharge. 39 (12.8%) were readmitted within the first month post-discharge. Older age, sex, higher prevalence of comorbidities, diabetes and hypertension, duration of primary disease before transplantation, hemodialysis and duration of pre-transplant dialysis, mean pre-transplant platelet count, intraoperative complications, increased cold ischemic time, and delayed graft function was associated with a higher prevalence of readmission (p < 0.05).
Conclusion: Our results showed that different independent variables and patientschr('39') comorbidities were important risk factors for readmission after kidney transplantation. Early prediction of these risk factors could result in the prevention of readmission in patients undergoing kidney transplantation. |
topic |
kidney transplantation readmission risk factors comorbidity |
url |
http://jhs.mazums.ac.ir/article-1-743-en.html |
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