Factors affecting to hospital admisson for renal transplant patients in the emergency department

Abstract

Objective: The aim of the present study was to determine the factors affecting hospitalization of renal transplant patients presenting to the emergency department.
Methods: This retrospective study was performed between 1 January 2005 and 31 December 2005. Demographic properties, vital parameters, diagnosis and discharge or hospitalization status of the patients were obtained from the hospital registry and recorded.
Results: Data of 163 patients were analyzed. Ninety-three (57%) of the participants were male and the mean age 37 years. 128 patients were live-donor recipients and 35 patients were cadaver kidney recipients. As part of immunosuppressive therapy, all patients were receiving corticosteroid therapy. Seventy four of those patients (45%) were on tacrolimus and 89 patients (55%) were on cyclosporine. Urinary tract infection was the most common diagnosis. Sixty-six (40%) of the patients were admitted and six patients died. Logistic regression analysis showed that fever (p=0.018 %95 GA 1.093-2.583) and high pulse rate (p=0.024 %95 GA 1.003-1.042) were predictors of hospitalization.
Conclusions: Renal transplant patients presenting to emergency department with fever and high pulse rate should warn the physician about the underlying serious pathology and should be considered for hospitalization.