Pulmonary Complications in Renal Recipients After Transplantation

Küpeli̇, Eli̇f; Ulubay, Gaye; Çolak, Turan; Özdemirel, Tuğçe Şahin; Özyürek, Berna Akıncı; Akçay, Şule; Haberal, Mehmet

doi:10.1016/j.transproceed.2011.01.063

Cited by 39 publications

(36 citation statements)

References 6 publications

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“…The immunocompromised state is primarily responsible for this complication. 5 Pneumonia was the most common pulmonary complication in the present study, but it caused no major consequences.…”

Section: Discussionmentioning

confidence: 50%

Untitled

2016

Exp Clin Transplant

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Objectives: Patients who are being considered for renal transplant must undergo thorough preoperative pulmonary evaluation to determine risk of postoperative pulmonary complications. The aim of this study was to determine the relation between the preoperative pulmonary risk factor score and pulmonary complications in patients undergoing renal transplant. Materials and Methods: Medical records of patients who underwent renal transplant at our institution between 2004 and 2015 were retrospectively reviewed. Patient demographics, smoking history, comorbidities, and preoperative pulmonary risk factors (age, oxygen saturation, hemoglobin level, type of incision, duration of surgery, history of lower respiratory tract infection 1 month before surgery, urgency of surgery), and type of pulmonary complications within 1 month after transplant were recorded. Results: Our study included 131 patients (94 male patients; mean age of 38.25 ± 12.96 y). Of total patients, 21(16%) developed complications during the first month after transplant, with 10 of the 21 (7.6% overall) developing pulmonary complications. These complications were pleural effusion (2 patients), pneumonia (3 patients), respiratory failure (2 patients), and pulmonary embolism (1 patient). There were no deaths directly attributed to the pulmonary complications. A significant correlation was observed between the preoperative pulmonary risk factor score and postoperative pulmonary complications in renal transplant recipients (P = .003). A positive correlation between the preoperative pulmonary scores and postoperative pulmonary complications existed among life-long nonsmokers (r = 0.371; P = .003). Conclusions: Renal transplant is an established modality in treatment of chronic renal failure. Prevention of pulmonary complications is essential for successful outcomes following transplant. Health care professionals involved with renal transplant and transplant centers should be aware of preoperative pulmonary risk factors. Patients should be observed so that these risk factors can be reduced before planned transplant. Moreover, we also suggest that smoking history should be considered as a preoperative pulmonary risk factor as it was found to be a factor leading to postoperative pulmonary complications in our study.

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Section: Discussionmentioning

confidence: 50%

Untitled

2016

Exp Clin Transplant

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“…8,[16][17][18][19] Regarding the causes of ARF, the largest case series on the subject, a retrospective study involving 9 French centers specifically evaluating patients with ARF, showed bacterial pneumonia as the main cause (35.5%), followed by cardiogenic pulmonary edema (24, 5%). 8 In another smaller series from Turkey, also involving renal transplant patients with ARF, but at an earlier time after renal transplantation, the results were similar: bacterial pneumonia (56%) and cardiogenic pulmonary edema (44%).…”

Section: Discussionmentioning

confidence: 99%

“…This finding is no different from other studies in this population, which report severe pulmonary complications more frequently after 6 months of transplantation, 8,9,16,18,23,24,27 although there are cases with different results. 17,28 Cardiogenic pulmonary edema is another condition often implicated in the genesis of ARF. Renal transplants present risk factors for the development of cardiovascular diseases, 29 which are frequent comorbidities and are the main cause of morbidity and mortality in this population.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with hospital mortality in renal transplant patients admitted to the intensive care unit with acute respiratory failure

Silva

Freitas

Bafi

et al. 2017

Jornal Brasileiro De Nefrologia

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“…Most common isolates are S. aureus, but also enteric gram negative bacteria in abdominal organ recipients. The incidence of pneumonia also varies between organs from 7.3% within the first year after kidney transplant [29] to 22% after liver transplant [30] to 36% in lung transplant recipients [31] and is associated with prolonged intensive care stay and hospital stay. The source of bacterial bloodstream infections after transplant, in addition to intravenous catheters, include the respiratory tract, the urinary tract and the abdomen.…”

Section: Staphylococcus Spp Streptococcus Sppmentioning

confidence: 99%

Complications of Post-Transplant Immunosuppression

Girlanda¹

2013

Regenerative Medicine and Tissue Engineering

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Pulmonary Complications in Renal Recipients After Transplantation

Cited by 39 publications

References 6 publications

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Factors associated with hospital mortality in renal transplant patients admitted to the intensive care unit with acute respiratory failure

Complications of Post-Transplant Immunosuppression

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