The risk factors of delayed graft function and comparison of clinical outcomes after deceased donor kidney transplantation: single-center study.

The aim of this study was to analyze risk factors for delayed graft function (DGF) after deceased donor kidney transplantation and to compare the clinical outcomes of non-DGF versus DGF recipients. From January 2004 to June 2008, 75/154 kidneys were transplanted into 74 recipients. We classified the recipients into two groups: group 1 (n=61) without DGF and group 2 (n=13) with DGF. On univariate analysis, recipient age (P=.048) cause of brain death (traumatic brain injury vs disease, P=.016), blood urea nitrogen (P=.002), serum creatinine (P=.001), arterial pH (P=.019), and serum sodium level (P=.012) just before organ procurement showed significant differences. On multivariate analysis, the cause of brain death (P=.015, hazard ratio [HR]: 7.086), the terminal serum creatinine>or=1.5 mg/dL before organ procurement (P=.007, HR: 10.132), and recipient age over >or=50 years (P=.021, HR: 7.767) were independent risk factors for the development of DGF. Graft failures occurred among 5/74 recipients with 5-year graft survivals between group 1 and group 2 of 91.7% and 84.6%, respectively. Patient death occurred in five cases, most by due to infection. The 5-year patient survival between groups 1 and 2 were 93.9% and 84.6%, respectively (P = .106). The independent risk factors for DGF were the cause of brain death, the terminal creatinine level, and the recipient age. In deceased donor kidney transplantation, DGF may have less effect on long-term patient and graft survivals.

Jung GO ，Yoon MR ，Kim SJ ，Sin MJ ，Kim EY ，Moon JI ，Kim JM ，Choi GS ，Kwon CH ，Cho JW ，Lee SK ... -  《-》

Impact of recipient and donor nonimmunologic factors on the outcome of deceased donor kidney transplantation.

Shaheen MF ，Shaheen FA ，Attar B ，Elamin K ，Al Hayyan H ，Al Sayyari A ... -  《-》

Long-term outcomes of kidney transplantation in recipients 60 years of age and older at the University of Florida.

Foley DP ，Patton PR ，Meier-Kriesche HU ，Li Q ，Shenkman B ，Fujita S ，Reed A ，Hemming AW ，Kim RD ，Howard RJ ... -  《-》

Delayed graft function in renal transplant recipients: risk factors and impact on 1-year graft function: a single center analysis.

Bronzatto EJ ，da Silva Quadros KR ，Santos RL ，Alves-Filho G ，Mazzali M ... -  《TRANSPLANTATION PROCEEDINGS》

Creatinine reduction ratio: a useful marker to identify medium and high-risk renal transplants.

Vilar E ，Varagunam M ，Yaqoob MM ，Raftery M ，Thuraisingham R ... -  《-》