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Hospitalization Causes in Kidney Transplant Recipients: A Cross-Sectional Study from Isfahan, Iran
Mojgan Mortazavi1, Shahrzad Shahidi2, Atefeh Vaezi3
1sfahan Kidney Diseases Research Center, Al-Zahra Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Iranian Journal of Kidney Diseases
|June 3, 2026
Summary
Infections and acute kidney injury (AKI) are the primary reasons for hospitalization in kidney transplant recipients (KTRs) in Isfahan. This study highlights the need for targeted interventions to reduce these common complications in KTRs.
Area of Science:
- Nephrology
- Transplantation Medicine
- Public Health
Background:
- Kidney transplantation improves survival for End-Stage Kidney Disease (ESKD) patients.
- Kidney transplant recipients (KTRs) face hospitalization risks due to complications.
- Limited data exists on hospitalization causes for Iranian KTRs.
Purpose of the Study:
- To investigate the primary causes of hospitalization in kidney transplant recipients (KTRs) in Isfahan, Iran.
- To identify common comorbidities and clinical characteristics of hospitalized KTRs.
- To inform targeted strategies for improving KTR care and reducing hospital admissions.
Main Methods:
- Cross-sectional study of KTRs hospitalized in Isfahan between March 2023 and March 2024.
- Data collection from medical records including demographics, clinical, and laboratory parameters.
- Classification of admission etiologies and statistical analysis using SPSS.
Main Results:
- 408 KTRs included; common comorbidities were diabetes mellitus (27.2%) and hypertension (22.2%).
- Leading admission causes were infections (42.5%) and acute kidney injury (AKI)/AKI on CKD (15.6%).
- Anemia (43.7%), hematuria (50.3%), and pyuria (64.2%) were prevalent; 2.2% experienced graft failure, and 4.4% died.
Conclusions:
- Infections and AKI are the main drivers of hospitalization in the Isfahan KTR population.
- Findings underscore the importance of monitoring and managing infections and kidney function in KTRs.
- Further research can optimize post-transplant care protocols to mitigate hospitalization risks.
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