Rehospitalization after kidney transplantation

Abstract

Introduction: Rehospitalization after renal transplantation predicts morbidity and mortality, is associated with higher costs, and indicates health care quality. Identifying risk factors for rehospitalization makes it possible to implement measures that improve the quality of care and develop interventions in the pre-transplant stage. Objectives: Establish the incidence of early rehospitalization in renal transplantation and evaluate variables associated with rehospitalization and its impact on the recipient and graft. Materials and Methods: Observational, longitudinal, retrospective study. We analyzed a cohort of adult kidney transplant patients from 01/01/2006 to 12/31/2018. Results: 196 adult kidney transplant patients were included in the study. The incidence of early rehospitalization was 17.8% (n=35). Patient and graft survival were similar in both groups. The cause of death was predominantly infectious 52% (n=22), while the cause of graft loss was chronic allograft nephropathy 24% (n=14) and death with a functioning graft 48% (n=28). Conclusions: The incidence of early rehospitalization after renal transplantation in our center is low compared to other publications. Our study did not show that readmission after renal transplantation is associated with worse outcomes.