ICU ADMISSIONS POST KIDNEY TRANSPLANTATION

Z KUAH 1, S JAHAN 1, S BHATTACHARJYA 1,  P COATES 1

1CNARTS, Adelaide, Australia

Aim: Kidney transplantation is the treatment of choice for patients with end stage kidney disease. ICU admissions post transplants are quoted variably in literature between 3-42% and little is known about the pre-operative risk factors or pre-morbid conditions leading to ICU admissions.

Background: Central Northern Adelaide Renal and Transplantation Service (CNARTS) transplant between 70-100 patients per year and the rates of ICU admission immediately post-transplant is relatively low. Our aim is to discharge patients home day 3 post-transplant and therefore ICU admissions are a significant cause for delay of that discharge date. ICU admissions are historically for provision of specialised care that is not able to be provided on the general ward.

Methods: Single centre 3.5-year retrospective analysis of all patients receiving kidney transplantation from Sept 2017 to Mar 2021 and review of cause of admission to ICU, demographics and comorbidity identification

Results: There were 280 kidney only transplants in the 3.5 year period. 38/280 (14%) had ICU admissions post operatively. 22/38 (58%) were male. Age range was between 23-70 years. 6/38 (16%) were Aboriginal background.  Hypotension was the leading cause of admission as found in 31/38 (82%) patients.  Allergic reaction to intra-operative medications caused ICU admission in 2 patients. Only 1 admission was due to post-operative bleed. 17/38 (45%) had diabetes, 6/38 had prior CABG and 11/38 (29%) were ex/current smokers and 4/38 had obstructive sleep apnoea.

Conclusions: Rates of ICU admission are low in our unit post kidney transplantation with the largest cause being hypotension. Multi-morbid background is a presumed cause of hypotension with diabetes being a significant factor.

 


Biography:

Bio to come

Recent Comments
    Categories