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논문 기본 정보

자료유형
학술저널
저자정보
Kyung Jai Ko (The Catholic University of Korea) Young Hwa Kim (The Catholic University of Korea) Mi Hyeong Kim (The Catholic University of Korea) Kang Woong Jun (The Catholic University of Korea) Kyung Hye Kwon (The Catholic University of Korea) Hyung Sook Kim (The Catholic University of Korea) Sang Dong Kim (The Catholic University of Korea) Sun Cheol Park (The Catholic University of Korea) Ji Il Kim (The Catholic University of Korea) Sang Seob Yun (The Catholic University of Korea) In Sung Moon (The Catholic University of Korea) Jeong Kye Hwang (The Catholic University of Korea)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.95 No.5
발행연도
2018.11
수록면
278 - 285 (8page)

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초록· 키워드

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Purpose: We investigated the clinical outcomes of deceased donor kidney transplantation (KT) using kidneys with terminal acute kidney injury (AKI).
Methods: Between February 2000 and December 2013, we performed 202 deceased donor renal transplants from 159 brain dead donors. 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 patient survival (P = 0.090). However, the long-term allograft survival 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 patient survival 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.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
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UCI(KEPA) : I410-ECN-0101-2019-514-000096295