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AKI and Renal Recovery After Lung Transplantation: The Experience in Mexico
Journal of the American Society of Nephrology ; 33:895-896, 2022.
Article in English | EMBASE | ID: covidwho-2126115
ABSTRACT

Background:

Few centers around the globe have a lung transplant (LT) program in Mexico there is only one. The possible complications are associated tpre transplant time, surgical and the post-surgical recovery, common one is AKI (20 to 90%), 15% need KRT. The AKI will complicate the in hospital evolution, time in ICU, risk of infections, also increase mortality and possibility of no renal recovery (RR). Method(s) Is a Retrospective and Descriptive study. patients 18y who performed LT in Christus Muguerza from January 2017 to May 2022. Data was collected in excel and the analysis was performed in SPSS V21. The confidentiality agreement is accordance with Helsinki declaration. Result(s) 24 patients had LT, 62.5% men, average age is 54 y, average BMI 23kg/m2. Idiopathic pulmonary fibrosis the most common diagnosis (58.3%) follow by COVID-19 (16.6%), 15 receive bi-pulmonary transplant. Survival rate is 66%. 37.5% developed AKI with the need of KRT all CKRT as initial therapy. 7 patientes where discharge with a complete renal recovery after KRT. 32% patients were in ECMO and 75% from these need CKRT. Conclusion(s) The involvement of kidney function is essential for the decision to go forward to LT, some patients develop AKI before surgical time, these should be evaluated from the crosstalk organ view, remembering that a high possibility of RR exist if the lung recovery is successful. Our work demonstrate that nephrology intervention in a team work help patient to RR. (Table Presented).
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Collection: Databases of international organizations Database: EMBASE Country/Region as subject: Mexico Language: English Journal: Journal of the American Society of Nephrology Year: 2022 Document Type: Article

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Collection: Databases of international organizations Database: EMBASE Country/Region as subject: Mexico Language: English Journal: Journal of the American Society of Nephrology Year: 2022 Document Type: Article