Between February 2000 and December 2013, we performed 202 deceased donor renal transplants from 159 brain deaddonors. According to the expanded criteria donor (ECD) and AKI network criteria, we divided 202 recipients into 4 groups Group I Non-AKI & standard criteria donor (SCD) (n = 97); group II Non-AKI & ECD (n = 15); group III AKI & SCD (n = 52); and group IV AKI & ECD (n = 38).
RESULTS:
The incidence of delayed graft function (DFG) was significantly higher in patients with AKI than it was in the non-AKI group (P = 0.008). There were no significant differences among the 4 groups in graft survival (P = 0.074) or patientsurvival (P = 0.090). However, the long-term allograftsurvival rate was significantly lower in group IV than it was in other groups (P = 0.024).
CONCLUSION:
Allografts from deceased donors with terminal AKI had a higher incidence of DGF than did those from donors without AKI. However, there is no significant difference in graft and patientsurvival rates among the groups. So, the utilization of renal grafts from ECDs with terminal AKI is a feasible approach to address the critical organ shortage.