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  3. 卷 4 编号 4 (2016): Autumn (November)
  4. Brief Report

卷 4 编号 4 (2016)

十一月 2016

The Reasons of Renal Transplant Recipients’ Admission to the Emergency Department; a Case Series Study

  • Erdal Uysal
  • Mehmet Dokur
  • Hasan Bakir
  • Mehmet Ali Ikidag
  • Turkay Kirdak
  • Hatem Kazimoglu

学术急诊医学档案, 卷 4 编号 4 (2016), 1 十一月 2016 , 第 207-210 页
https://doi.org/10.22037/aaem.v4i4.252 已出版: 2018-12-16

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摘要

Introduction:  Renal transplantation are admitted to emergency department (ED) more than normal population. The present brief report aimed to determine the reasons of renal transplant patients’ ED visits.

Methods: This retrospective case series study analyzed the reasons of renal transplant recipients’ admission to one ED between 2011 and 2014. The patient data were collected via a checklist and presented using descriptive statistics tools.

Results: 41 patients with the mean age of 40.63 ± 10.95 years were studied (60.9% male). The most common ED presenting complaints were fever (36.6%) and abdominal pain (26.8%). Infections were the most common final diagnosis (68.3%). Among non-infectious causes, the most common was acute renal failure (9.7 %). 73.2% of the patients were hospitalized and no cases of graft loss and mortality were seen.

Conclusion: The most common reason for ED admission was fever, and infections were the most common diagnosis. Acute gastroenteritis being the most frequent infection and among non-infectious problems, acute renal failure was the most frequent one. 

关键词:
  • Kidney transplantation
  • patient readmission
  • emergency service
  • hospital
  • epidemiologic studies
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Uysal E, Dokur M, Bakir H, Ikidag MA, Kirdak T, Kazimoglu H. The Reasons of Renal Transplant Recipients’ Admission to the Emergency Department; a Case Series Study. Arch Acad Emerg Med [网际网络]. 2018年12月16日 [见引于 2026年8月26日];4(4):207-10. 载于: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/252
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参考

Venkat KK, Venkat A. Care of the renal transplant recipient in the emergency department. Annals of emergency medicine. 2004;44(4):330-41.

Tokalak I, Basaran O, Emiroglu R, Karakayali H, Bilgin N, Haberal M. Problems in postoperative renal transplant recipients who present to the emergency unit: experience at one center. Transplantation proceedings. 2004;36(1):184-6.

Kartal M GE, Eray O, Gungor F. Factors affecting to hospital admission for renal transplant patients in the emergency department. Turkish Journal of Emergency Medicine. 2009;9(4):159-62.

Sternbach GL, Varon J, Hunt SA. Emergency department presentation and care of heart and heart/lung transplant recipients. Annals of emergency medicine. 1992;21(9):1140-4.

Savitsky EA, Votey SR, Mebust DP, Schwartz E, Uner AB, McCain S. A descriptive analysis of 290 liver transplant patient visits to an emergency department. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2000;7(8):898-905.

Reis MA, Costa RS, Ferraz AS. Causes of death in renal transplant recipients: a study of 102 autopsies from 1968 to 1991. Journal of the Royal Society of Medicine. 1995;88(1):24-7.

Fishman JA, Rubin RH. Infection in organ-transplant recipients. The New England journal of medicine. 1998;338(24):1741-51.

Becker S, Witzke O, Rubben H, Kribben A. [Urinary tract infections after kidney transplantation: Essen algorithm for calculated antibiotic treatment]. Der Urologe Ausg A. 2011;50(1):53-6.

Trzeciak S, Sharer R, Piper D, Chan T, Kessler C, Dellinger RP, et al. Infections and severe sepsis in solid-organ transplant patients admitted from a university-based ED. The American journal of emergency medicine. 2004;22(7):530-3.

Schmaldienst S, Dittrich E, Horl WH. Urinary tract infections after renal transplantation. Current opinion in urology. 2002;12(2):125-30.

Koo EH, Jang HR, Lee JE, Park JB, Kim SJ, Kim DJ, et al. The impact of early and late acute rejection on graft survival in renal transplantation. Kidney research and clinical practice. 2015;34(3):160-4.

Rigatto C. Clinical epidemiology of cardiac disease in renal transplant recipients. Seminars in dialysis. 2003;16(2):106-10.

Kim HC, Park SB. Infection in the renal transplant recipient. Transplantation proceedings. 2000;32(7):1974-5.

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