Critical Analysis of Patients with Long Term Follow-up after Kidney Transplantation

Abstract

Objective: To assess clinical alterations and complications in grafts and patients (pts) with more than ten years after kidney transplant. Methods: A retrospective study was performed on the evolution of 67 living receptors with functioning graft submitted to the first kidney transplant including analysis of gender, color, average age at the transplant, basic illness, immunosuppressant, average transplant time, complications and present kidney function of the receptors. Donors were also analyzed related to their average gender, color, age, type, and HLA compatibility. Results: The average transplant time was of 13.8 + 2.9 years, and the present kidney function of pts is 48.7+ 20.7 ml/min. The average plasmatic creatinine after 6 months and 1 year was respectively 1.50 mg/dl and 1.47 mg/dl. The major observed complications were infections, high blood pressure, acute rejection, chronic allograft nephropathy and dislipidemia. Conclusion: Evolution and complications observed in our patients were similar to those found in international publications during the prior period of the discovery of new immunosuppressant drugs.