Patient survival rate and graft survival rate of kidney transplant recipients in Rajavithi Hospital
Objective: To report the outcomes and complications of transplant activity and the survival data of kidney transplant patients and grafts.
Material and Method: We conducted a retrospective analysis of patients who received a kidney transplant at our institution, and reported the donor, recipient,
and transplant characteristics from January 2012 to September 2019. The primary outcome was patient survival and graft survival at 1, 3, and 5 years.
Results: A total of 136 kidney transplants were performed from January 2012 to September 2019; 29% (37) and 71% (89) were living and deceased donor ransplants. Patient survival rates were 96.8%, 96%, and 96% at 1, 3, and 5 years, respectively. Graft survival rates were 95.2%, 94.4%, and 92.9% at 1, 3, and 5 years, respectively. Traffic accident was the most common cause of death in the brain-dead donors. The most common cause of end-stage renal disease was biopsy proved IgA nephropathy. The most common early and late complications after transplant were delayed graft function and renal vascular complication, espectively. Infection was the most common cause of death in kidney transplant recipients.
Conclusion: We have reported the total number, the graft and the patient survival data of kidney transplant recipients in Rajavithi Hospital from 2012 to 2019. Although the number of patients is lower than in other institutions in Thailand, and also in developed countries, the patient and the graft survival rates are comparable. Better outcomes were found in living donor transplants.
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