El paciente trasplantado renal en urgencias

Ruiz-Fuentes, María del Carmen; Vargas-Rivas, José; Gracia-Guindo, Carmen De; Ruiz-Fuentes, Nuria; Teresa-Alguacil, Javier de; Osorio-Moratalla, José Manuel; Osuna-Ortega, Antonio

doi:10.1016/j.nefro.2015.03.004

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…In our population, all the patients who underwent renal transplants at our centre visited the ED at least once during the first-year post-renal transplant. Interestingly, these findings differ from a study that was done in Granada, where less than 50% of the population utilized the ED services during the first-year post-transplantation 15 . This stresses the importance of more scheduled outpatient visits for renal transplant patients, better analgesia, clear discharge instructions, and further evaluation of their concerns 16 .…”

Section: Discussioncontrasting

confidence: 95%

“…Gastrointestinal symptoms and infectious symptoms were the main causes of ED visits, which is consistent with other studies 15 , 19 , 20 . These remain the major reasons for visits due to regular use of immunosuppressive drugs after transplant, which may increase the incidence of urinary tract infections and gastrointestinal symptoms 21 .…”

Section: Discussionsupporting

confidence: 92%

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Utilization of the emergency department by kidney transplant recipients: a retrospective cohort study from a high-volume transplant center

Sabbah,

Alghafees,

Sabbah

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: This study aims to assess the trends of emergency department (ED) visits among kidney transplant recipients in a high-volume transplant centre. Methods: This retrospective cohort study targeted patients who underwent renal transplantation at a high-volume transplant centre from 2016 to 2020. The main outcomes of the study were ED visits within 30 days, 31–90 days, 91–180 days, and 181–365 days of transplantation. Results: This study included 348 patients. The median (interquartile range) age of patients was 45.0 years (30.8, 58.2). Over half of the patients were male (57.2%). There was a total of 743 ED visits during the first year after discharge. 19% (n=66) were considered high-frequency users. High-volume ED users tended to be admitted more frequently as compared to those with low frequencies of ED visits (65.2% vs. 31.2%, respectively, P<0.001). Conclusion: As evident by the large number of ED visits, suitable coordination of management through the ED remains a pivotal component of post-transplant care. Strategies addressing prevention of complications of surgical procedures or medical care and infection control are aspects with potential for enhancement.

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Section: Discussioncontrasting

confidence: 95%

Section: Discussionsupporting

confidence: 92%

Utilization of the emergency department by kidney transplant recipients: a retrospective cohort study from a high-volume transplant center

Sabbah,

Alghafees,

Sabbah

et al. 2023

Annals of Medicine &Amp; Surgery

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“…These situations warrant healthcare intervention, often with emergency transport and admission to hospital (3). In Spain, in a situation of risk, professionals, the patient, or the patient's relatives contact the Emergency Medical Services (Servicios de Emergencias Médicas-SEM), who provide prehospital care and transfer of patients to hospital once they are stabilized (4). The reasons why these patients with CKD require assistance or transport are diverse, and the situations triggering them remain di cult to forecast and manage (5).…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Costs of Prehospital Care for Chronic Kidney Disease Patients: A Longitudinal Cohort Study

Sarria-Guerrero¹,

Guix-Comellas²,

Jiménez-Fàbrega³

et al. 2020

Preprint

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Background The global cost associated with substitute treatment for patients with chronic kidney disease has been calculated, but there is a lack of information about the characteristics and costs deriving from pre-hospital care with transport and admission to hospital emergency services. Therefore, the aim of this study was to identify the characteristics of urgent telephone requests to Emergency Medical Services for patients with chronic kidney disease in Catalonia, Spain, and make a cost estimation of prehospital care and admission to the emergency department, grouped by comorbidities. Methods Retrospective longitudinal observational study. Patients who required urgent prehospital care based on telephone triage were enrolled. Sociodemographic, clinical, and financial variables were collected. The data were gathered by means of a review of the clinical records in the Emergency Medical Services database. To explore the possible relation among the qualitative variables the χ² test was used, for the relation between a quantitative variable and dichotomy qualitative variable the student t test was used with prior testing of the normal deviation of quantitative variables, and the Mann-Whitney U test was then employed if they did not fulfil normality criteria. For all calculations an alpha error of p <0.05 was assumed.Results A total of 252 phone calls were analyzed. Some 98.4% of patients (n=248) were prioritized through phone triage and classified as very severely ill: resuscitation or emergencies. The most prevalent initial diagnoses were intense dyspnoea, accidental fall, abdominal pain, and disease decompensation; there were 11 cases of cardio-respiratory arrest (4.36%), half of which were associated with hypertensive heart disease (HHDT). The average cost of prehospital care was €480.06/patient (SD=256.74), but in patients with comorbidities this rose to €550.77 for HHD and €508.73 for diabetes mellitus (DM). No statistically significant differences were found between total cost/patient and comorbidity (p=0.361), or between the costliest comorbidities, HHD and DM (p=0.330). Conclusions Patients telephoned for help when they were in serious condition, in line with the levels established by telephone triage. The cost of prehospital care was high, and this increased in the presence of comorbidities.

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The first description of the extended-spectrum beta-lactamase blaSHV-12 gene in a Salmonella monophasic Typhimurium strain isolated from acute gastroenteritis in a kidney transplant recipient in Southeast Spain

2017

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Acute gastroenteritis (AGE) is a common disease within the population. Most cases are self-limited. However, intensive treatment is sometimes necessary to ensure patient integrity. This disease is characterized by vomiting and/or diarrhea with blood or mucus, discomfort, fever, and nonspecific abdominal pain. Commonly involved pathogens in the developed world include: viruses, bacteria, and parasites. In this paper we report a rare cause of AGE.

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El paciente trasplantado renal en urgencias

Cited by 3 publications

References 3 publications

Utilization of the emergency department by kidney transplant recipients: a retrospective cohort study from a high-volume transplant center

Utilization of the emergency department by kidney transplant recipients: a retrospective cohort study from a high-volume transplant center

Characteristics and Costs of Prehospital Care for Chronic Kidney Disease Patients: A Longitudinal Cohort Study

The first description of the extended-spectrum beta-lactamase blaSHV-12 gene in a Salmonella monophasic Typhimurium strain isolated from acute gastroenteritis in a kidney transplant recipient in Southeast Spain

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