Influencing factors for unplanned re-hospitalization in adult renal transplant recipients after surgery
- VernacularTitle:成年肾移植受者术后非计划再入院的影响因素分析
- Author:
Weiwei CAO
1
;
Minghuan ZHONG
;
Zhou SUN
;
Guofu LIANG
;
Fu YAN
;
Chao LIU
;
Li MA
;
Kejing ZHU
;
Yanyan XU
;
Bei DING
;
Yulin NIU
Author Information
- Keywords: renal transplantation; adults; unplanned rehospitalization; influencing factors
- From: Journal of Clinical Medicine in Practice 2024;28(18):117-122
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the influencing factors of unplanned rehospitalization with-in one year after surgery among adult renal transplant recipients.Methods The clinical data of 299 recipients who underwent renal transplant surgery in the Department of Organ Transplantation of the Affiliated Hospital of Guizhou Medical University from January 2020 to December 2022 were retrospec-tively analyzed.The recipients were divided into unplanned rehospitalization group and non-rehospital-ization group based on whether they experienced unplanned rehospitalization within one year after sur-gery.Univariate analysis and binary Logistic regression analysis were performed to explore the influen-cing factors of unplanned rehospitalization within one year after renal transplantation.Results Among the 299 recipients,102 experienced unplanned rehospitalization,with an incidence rate of 34.11％.Univariate analysis revealedstatistically significant differences were noted between the two groups in terms of gender,occupational status,preoperative underlying disease,rejection reactions,nosocomial infections,immunosuppressive medication regimens,serum creatinine,cystatin C,serum phosphor-us,serum potassium,and initial hospitalization duration(P＜0.05).Binary Logistic regression a-nalysis showed that having ≥3 kinds of preoperative underlying disease(OR=2.122,95％CI,1.198 to 3.759)and experiencing rejection reactions(OR=3.162,95％CI,1.217 to 8.218)were independent risk factors for unplanned rehospitalization within one year after renal transplantation(P＜0.05).Conclusion The rate of unplanned rehospitalization within one year after surgery is relatively high among adult renal transplant recipients.Having ≥3 preoperative underlying disease and experiencing rejection reactions are independent risk factors for unplanned rehospitalization with-in one year after surgery.Transplantation healthcare teams can develop corresponding strategies tar-geting these risk factors to reduce the rate of unplanned rehospitalization and alleviate the burden of disease.
