Survival of kidney transplant at the National Children's Hospital

Authors

  • Sara Fernández Rojas Caja Costarricense del Seguro Social, Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera"

DOI:

https://doi.org/10.51481/amc.v61i2.1028

Keywords:

kidney transplant, survivors, kidney failure

Abstract

Objective: to know the survival of the renal transplant program at the National Children's Hospital, from January 1978 to January 2016.

Methods: retrospective and descriptive study in children who received a kidney transplant. The information was compiled from the clinical files. We included children who had a viable graft for at least three months, patients with a complete passive file and who provided informed consent.

Results: A total of 152 patients were collected, and 143 were included in the study, since 9 were excluded. 51% (n = 73) were women. A total of 167 kidney transplants were performed, 63.5% (n = 105) were grafts from a related living donor. Survival at the first year was 100%, 95% at 10 years and 61% at 20 years after transplantation. Regarding the survival of the graft, a survival rate of 95% was found in the first year, 76% at 3 years and 73% at 5 years after transplantation, with an
incidence of acute rejection of 28.7%.

Conclusions: Kidney transplantation in children is a very complex procedure where survival depends on multiple environmental factors and / or acquired, however it is possible that pediatric centers like ours can reach survival rates according to centers in developed countries.

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Published

2019-04-29 — Updated on 2019-04-29

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How to Cite

Survival of kidney transplant at the National Children’s Hospital. (2019). Acta Médica Costarricense , 61(2), 62-67. https://doi.org/10.51481/amc.v61i2.1028