Supervivencia del injerto y del receptor en el trasplante renal en el hospital Guillermo Gran Benavente (Concepción, Chile).

As the renal transplant is the best therapeutic option for the treatment of End-Stage Renal Disease, in the city of Concepción (Chile), a Renal Transplant Program (TX) was started in 1994. The aim was to characterize the kidney graft survival of TX performed in our hospital, through a descriptive, t...

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Publicado en:Enfermería Nefrológica Vol. 17; no. 4; pp. 292 - 299
Autores principales: Rodríguez Vidal, Magali, Parra Morales, Mariela, Castro Salas, Manuel, Rocha Ortiz, Susana, Villalobos Sepúlveda, Claudia
Formato: Artículo
Publicado: Sociedad Espanola de Enfermeria Nefrologica oct-dic2014
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Acceso en línea:Ver este registro en EBSCOhost
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        10.4321/s2254-28842014000400008
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        atl: Supervivencia del injerto y del receptor en el trasplante renal en el hospital Guillermo Gran Benavente (Concepción, Chile).
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        au:
          Rodríguez Vidal, Magali
          Parra Morales, Mariela
          Castro Salas, Manuel
          Rocha Ortiz, Susana
          Villalobos Sepúlveda, Claudia
        affil:
          Universidad de Concepción
          Unidad de Trasplante, Hospital Regional, Concepción. Chile
      su:
        Immunosuppressive agents
        Chronic kidney failure
        Comparative studies
        Statistical correlation
        Graft rejection
        Graft versus host reaction
        Kidney transplantation
        Research methodology
        Mortality
        Organ donors
        Surgical complications
        Survival analysis (Biometry)
        Transplantation of organs, tissues, etc.
        Socioeconomic factors
        Cross-sectional method
        Data analysis software
        Descriptive statistics
        Kaplan-Meier estimator
        Log-rank test
        Surgery
        Chile
      sug:
        subj:
          Chile
          Immunosuppressive agents
          Chronic kidney failure
          Comparative studies
          Statistical correlation
          Graft rejection
          Graft versus host reaction
          Kidney transplantation
          Research methodology
          Mortality
          Organ donors
          Surgical complications
          Survival analysis (Biometry)
          Transplantation of organs, tissues, etc.
          Socioeconomic factors
          Cross-sectional method
          Data analysis software
          Descriptive statistics
          Kaplan-Meier estimator
          Log-rank test
          Surgery
      keyword:
        COMPLICACIONES
        COMPLICATIONS
        RENAL TRANSPLANTATION
        SUPERVIVENCIA
        SURVIVAL
        TRASPLANTE RENAL
        COMPLICACIONES
        SUPERVIVENCIA
        TRASPLANTE RENAL
      ab:
        As the renal transplant is the best therapeutic option for the treatment of End-Stage Renal Disease, in the city of Concepción (Chile), a Renal Transplant Program (TX) was started in 1994. The aim was to characterize the kidney graft survival of TX performed in our hospital, through a descriptive, transversal, correlational and comparative study of the results obtained in two periods, A: from 1994 to 2003 and, B: from 2004-2012. Statistical analysis was performed using the SPSSv20.0 software. The function of survival was calculated using the nonparametric Kaplan-Meier test; and to compare the variables we used the log-rank test. From the results, we emphasize that the survival of patients transplanted in the period A was better in the first year (96%), but was lower at 3 (90%), 5 (86%) and 10 years (72%) compared to the period B in which the first year was 95%, at 3 of 90% at 5 and 10 years of 87%. Graft survival was also higher in the period A than in B, and better when the time of ischemia was less than 24 hours and no differences in relation to sex of the donor and recipient and type of immunosuppressive treatment. Infections were the first cause of death and surgical complications the main cause of graft loss.
        Al ser el trasplante renal la mejor opción terapéutica para el tratamiento de la Insuficiencia Renal Terminal, en la ciudad de Concepción (Chile), se inició el programa de Trasplante Renal (TX) en el año 1994. El objetivo de este trabajo es caracterizar la supervivencia del injerto renal de los TX realizados un hospital, de dicha ciudad mediante un estudio descriptivo, transversal, correlacional y comparativo de los resultados obtenidos en dos periodos, A: de 1994 a 2003 y, B: de 2004 a 2012. El análisis estadístico se realizó con el software SPSSv20.0. La funcion de supervivencia con la prueba no-paramétrica de Kaplan-Meier; y para comparaciones de variables se utilizó el test log-rank. De los resultados obtenidos cabe destacar que la supervivencia del paciente trasplantado en el período A fue mejor el primer al año (96%), pero fue menor a los 3 (90%), 5 (86%) y 10 años (72%) respecto al período B en que los valores fueron al año 95%, a los 3 el 90% a los 5 y 10 años el 87% y a los 10 años. La supervivencia del injerto tambien fue mayor en el periodo A que en el B, y mejor cuando hubo un tiempo de isquemia inferior a 24 horas y sin diferencias en relación al sexo del donante y del receptor y al tipo de tratamiento inmunosupreso. Las infeciones fueron la primera causa de muerte del paciente y las complicaciones quirúrgicas la principal causa de la pérdida del injerto.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: Spanish
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