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Related Concept Videos

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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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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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...
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Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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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...
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Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

47
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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Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

52
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
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Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

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Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
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Related Experiment Video

Updated: Aug 8, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Early readmissions post kidney transplantation: lessons learned.

M Moein1, I M Vlassis1, L Kim1

  • 1Department of Surgery, Division of Transplantation, SUNY Upstate Medical University, Syracuse, New York, USA.

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|March 5, 2023
PubMed
Summary

Over half of kidney transplant recipients experienced hospital readmission within 90 days. Key causes included surgical issues like fluid collection and infections such as UTIs, highlighting areas for improved patient care and reduced costs.

Keywords:
Kidney transplantationOutcomeReadmissionReingresoResultadoSupervivenciaSurvivalTrasplante renal

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Last Updated: Aug 8, 2025

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Area of Science:

  • Nephrology
  • Transplant Surgery
  • Healthcare Quality Improvement

Background:

  • Kidney transplantation (KT) is the primary treatment for end-stage renal disease (ESRD).
  • Hospital readmissions post-KT are frequent, impacting patient outcomes and hospital quality.
  • Early hospital readmission (EHR) is linked to adverse patient outcomes.

Purpose of the Study:

  • To determine the readmission rate following kidney transplants.
  • To identify the primary causes of readmission after KT.
  • To explore preventative strategies for post-transplant readmissions.

Main Methods:

  • Retrospective review of medical records for 474 renal allograft recipients (2016-2021).
  • Analysis of readmission rates and contributing factors within 90 days post-transplant.
  • Categorization of complications leading to readmission: surgical, graft-related, infections, DVT, and other medical issues.

Main Results:

  • 52.3% of recipients had at least one readmission within 90 days post-KT; 18.8% had multiple readmissions.
  • Most common surgical complication: perinephric fluid collection (52.4%).
  • Most common infection: urinary tract infection (UTI) (50%).
  • Higher readmission odds in patients >60 years, with high KDPI kidneys (≥85), and delayed graft function (DGF).

Conclusions:

  • Early hospital readmission is a significant complication after kidney transplantation.
  • Identifying causes like surgical complications and infections is crucial for improving patient outcomes.
  • Preventing readmissions can reduce patient morbidity, mortality, and healthcare costs.