RESUMEN
Background: There is a relative lack of recent information about post kidney transplantation anemia [PTA], especially in the developing countries. In Egypt data are scarce about the frequency and risk factors of PTA, although the first kidney transplantation was done in 1976
Objective: is to identify the frequency and risk factors of post renal transplant anemia
Patients and methods: This is across sectional hospital analytic study enrolling all kidney transplant recipients following in Assiut nephrology outpatient clinic, Kasr EL-Amy transplant outpatient clinic, and Sohag insurance hospital outpatient clinic, within the period from July 2014 to October 2015. Clinical and laboratory data were obtained from 86 patients; anemia was defined as Hb levels of < 13 g/dl for male patients and < 12 g/dl for female patients. Exclusion criteria were pregnancy, patients below 13 years old, multiple organ transplantation, and patients with less than six months from the transplantation
Results: The study showed that 53.5% of the patients were anemic. Multiple logistic regression analysis showed that GFR [p-value =0. 026] is a strong predictor for the development of post-transplant renal anemia. It also showed that high serum phosphorus level [p-value =0. 049] is significantly associated with post- transplant renal anemia. The use of Angiotensin converting enzyme inhibitors [ACEI], immunosuppressive treatments, presence or absence of co-morbidities, and donor type are not significantly associated with Post transplant renal anemia
Conclusion: Our study concluded that post-transplant renal anemia is common and under recognized. Risk factors include renal dysfunction and high serum phosphorus level