Renal transplantationRehospitalizationPrimary Kidney Disease and Post–Renal Transplantation Hospitalization Costs
Section snippets
Methods
From 2000 to 2005, the hospitalization costs of 387 consecutive rehospitalizations of kidney recipients were retrospectively extracted from patient hospital records. Our renal transplantations date back to 1992, with a total number of 2269. Rehospitalization was defined as a hospital admission that occurred for any medical reason after discharge from the initial transplantation hospitalization. Rehospitalizations were divided into two groups: those happening in the patients with ESRD due to
Results
Of 387 rehospitalized cases (mean age ± SD: 39.4 ± 14.8 years), which included 316 men and 71 women of whom 71 (18.3%) and 316 (81.7%) fell into DM and non-DM groups, respectively. The mean age ± SD of in DM and non-DM groups was 51.5 ± 11.5 and 36.7 ± 14.1 years, respectively.
Table 1 shows the patient sex, ESRD etiology, source of kidney graft, hospitalization cause, frequency of intensive care unit admissions, and mortality in the two groups of patients. The mean of age in DM group was higher
Discussion
This study reported an association between higher posttransplantation inpatient direct medical costs and DM as the primary kidney disease. Each posttransplantation rehospitalization of DM patients cost society about 1.5-fold more than that of a non-DM patient.
The findings of this study may be valuable for transplantation centers. DM is the main cause of ESRD in several countries over the world.18 In particular, DM has been reported to be the leading cause for renal transplantation among ESRD
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Rehospitalization after kidney transplantation during the first year: Length, causes and relationship with long-term patient and graft survival
2011, Transplantation ProceedingsCitation Excerpt :Miscellaneous etiologies included posttransplant diabetes melitus, posttransplant hypertension, and anemia. Because rehospitalizations are possible for more than one cause, the sum of the frequencies of hospitalization causes is more than 100%.8,9 Graft function and mortality rate were also reviewed.
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This study was fully supported and funded by Baqiyatallah Medical Sciences University.