Management of the kidney transplant recipient in the emergency department: what should we know?
Keywords:
emergency department; complications; management; kidney transplant.Abstract
The rapid increase of kidney transplants worldwide has increased the possibility of encountering this complex population in hospital emergency departments. The degree of immunocompromise and the side effects of the medication required contribute to their atypical clinical and surgical presentation, and most of the times rapidly progressive.
Even though consultation with the transplant team is required, the viability of the graft and the patient's survival will depend on the promptness of the diagnosis and treatment provided by the emergency department physician. Additionally, an appropriate approach helps reduce risks and costs in the health system. This article discusses the management of transplant patients in the emergency department.
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Perez-Calvo, Marrugo-Padilla, Pájaro-Galvis, Vergara-Serpa, Rico-Fontalvo J, Daza-Arnedo R, et al. Infecciones Postransplante Renal. 2021.
Long B, Koyfman A. The emergency medicine approach to transplant complications. Am J Emerg Med. 2016 Nov;34(11):2200-2208. doi: 10.1016/j.ajem.2016.08.049. Epub 2016 Aug 27. PMID: 27645810.
Albán Tigre J, Villarreal Juris A, Mora Betancourt J, Betancourt Nole V, Trasplante Renal en Ecuador, puntos clave y Situación Actual. Rev Med Vozandes 2020; 31 (2): 42-48
Gatz JD, Spangler R. Evaluation of the Renal Transplant Recipient in the Emergency Department. Emerg Med Clin North Am. 2019 Nov;37(4):679-705. doi: 10.1016/j.emc.2019.07.008. PMID: 31563202.
Mıhçıokur S, Doğan G, Kocalar G, Erdal R, Haberal M. Emergency Department Visits After Kidney, Liver, and Heart Transplantation in a Hospital of a University in Turkey: A Retrospective Study. Exp Clin Transplant. 2019 Jan;17(Suppl 1):264-269. doi: 10.6002/ect. MESOT2018.P120. PMID: 30777572.
Goldberg RJ, Weng FL, Kandula P. Acute and Chronic Allograft Dysfunction in Kidney Transplant Recipients. Med Clin North Am. 2016 May;100(3):487-503. doi: 10.1016/j.mcna.2016.01.002. Epub 2016 Mar 21. PMID: 27095641.
Aiyegbusi O, McGregor E, McManus SK, Stevens KI. Immunosuppression Therapy in Kidney Transplantation. Urol Clin North Am. 2022 May;49(2):345-360.
Weeda ER, Su Z, Taber DJ, Bian J, Morinelli TA, Pilch NA, Mauldin PD, DuBay DA. Hospital admissions and emergency department visits among kidney transplant recipients. Clin
Transplant. 2019 May;33(5): e13522.
Faraldo-Cabana A, Jiménez-Romero DC, Ibáñez-Rebé, Rico-del Vas D, Fernández-Cruz AM, Lope-Andrea. Incidencia de infecciones en el postrasplante renal inmediato. Enferm Nefrol. 2022; 24(4).
Pérez-Granados EE, Díaz-Chávez, Álvarez A, Macías E, Arreguín, Gutiérrez-Canales G, et al. Impacto de infecciones y enterobacterias productoras de betalactamasa de espectro extendido en la supervivencia del injerto y del paciente en un programa de trasplante renal en México. Gac. Méd. Méx. 2022; 158(5).
Lopez Oliva, Loeches. Infecciones en el Trasplante Renal. 2022.
Gallego-Maldonado, Otálora-Díaz, Urbano-Cáceres, Morales-Súarez M. Multirresistencia bacteriana: Reto terapéutico en trasplante renal. Univ. Salud. 2019; 21(1).
Brit Long, MD, Alex Koyfman, MD. The emergency medicine approach to transplant complications. 2016; p. 2200-2208.
Ramírez Palma A, Freire Vicencio R, González Nahuelquin C. Cuidados del trasplantado renal en cuidados intensivos según el Modelo de Adaptación de Callista Roy. 2021.
Carvalho ja, nunes p, antunes h, parada b, tavares da silva e, rodrigues l, roseiro a, bastos c, macário f, figueiredo a. Surgical complications in kidney transplantation: an overview of a portuguese reference center. Transplant proc. 2019 jun;51(5):1590-1596. Doi: 10.1016/j.transproceed.2019.05.001. Pmid: 31155198.
Reyna-sepúlveda f, ponce-escobedo a, guevara-charles a, escobedo-villarreal m, pérez-rodríguez e, muñoz-maldonado g, hernández-
guedea m. Outcomes and surgical complications in kidney transplantation. Int j organ transplant med. 2017;8(2):78-84. Epub 2017 May 1. Pmid: 28828167; pmcid: pmc5549004.
Patel NH, Jindal RM, Wilkin T, Rose S, johnson MS, Shan H, et al. Renal arterial stenosis in renal allografts: retrospective study of predisposing factors and outcomes after percutaneous transluminal angioplasty. Radiology 2001; 219-663-7
Choate H, Mihalko L, Choate B. Urologic complications in renal transplants. Transl androl urol. 2019 apr;8(2):141-147.
Buttigieg J, Agius-Anastasi A, Sharma A, Halawa A. Early urological complications after kidney transplantation: an overview. World j transplant. 2018 sep 10;8(5):142-149. Doi: 10.5500/wjt. v8.i5.142. Pmid: 30211022; pmcid: pmc6134271.
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