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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

749
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
749
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

835
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
835
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Acute Kidney Injury V: Interprofessional Care01:20

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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

515
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Updated: Apr 11, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Kidney transplantation: which variables should be improved?

M Guedes-Marques1, C Romãozinho2, L Santos2

  • 1Department of Nephrology, Centro Hospitalar e Universitário de Coimbra-Hospital Geral, Coimbra, Portugal; Department of Urology and Kidney Transplantation, Centro Hospitalar e Universitário de Coimbra-Hospital Geral, Coimbra, Portugal.

Transplantation Proceedings
|June 4, 2015
PubMed
Summary

Several factors influence kidney transplant success, including donor age, recipient characteristics, and pre-transplant hemodialysis. Managing nutritional status, hemoglobin, albumin, and blood pressure can improve early renal graft function.

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Area of Science:

  • Nephrology
  • Transplantation Immunology
  • Clinical Medicine

Background:

  • Allograft survival is influenced by numerous factors, many of which remain debated.
  • Early renal graft function is a critical determinant of long-term transplant success.

Purpose of the Study:

  • To investigate the impact of various factors on early renal graft function following kidney transplantation.
  • To identify potentially modifiable parameters for improving graft outcomes.

Main Methods:

  • A transversal study involving 64 kidney transplant recipients.
  • Collection and analysis of demographic, clinical, and laboratory data.
  • Statistical analysis using univariate and multivariate regression models.

Main Results:

  • Donor age and cause of death (stroke) were associated with higher creatinine levels.
  • Recipient factors such as age, race, gender, BMI, ESRD type, dialysis modality, and pre-transplant hemodialysis session influenced graft function.
  • Living donor transplant, instant diuresis, and post-transplant blood pressure were linked to improved renal function.
  • The identified factors explained 87.6% of the variance in renal function markers.

Conclusions:

  • Nutritional status, hemoglobin, albumin, and blood pressure are key measurable and modifiable parameters.
  • Optimizing these parameters holds potential for enhancing early renal graft function and improving transplant outcomes.