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International Journal of Nursing Care
Year : 2016, Volume : 4, Issue : 2
First page : ( 38) Last page : ( 42)
Print ISSN : 2320-8643. Online ISSN : 2320-8651.
Article DOI : 10.5958/2320-8651.2016.00028.4

Living Donor and Deceased Donor Renal Transplantation; Differences in Early Outcome at Amrita Institute of Medical Sciences, Kochi, Kerala

Chitra P*Professor, James Preetha, Year M Sc Nursing

Child Health Nursing, Amrita College of Nursing, AIMS, Amrita Vishwa Vidyapeetham, AMRITA University, Kochi-41, Kerala

*Corresponding author: P. Chitra, Professor, Amrita College of Nursing, AIMS, Amrita Vishwa Vidyapeetham, AMRITA University, Kochi-682041, Kerala. Contact no. 09645740256. email id- prof.pchitra@gmail.com

Online published on 3 August, 2016.

Abstract

Introduction

Living Donor Renal Transplant (LDRT) yields better long term outcome than Cadaver Donor Renal Transplant (CDRT). The aim of the present study is to identify the differences in early outcome of first 3 months during the post-operative follow up of LDRT and CDRT recipients.

Method & Tool

A Descriptive explorative study design was chosen to analyze the patient clinical records in systematic sequence manner. The total number of sample was both group were 48. The demographic variables, clinical variables, pre-operative and post-operative variables were tabulated and compared.

Results

Overall differences were, in after transplantation the LDRT (24) patients hospital stay was minimal 17(71%), no infections14 (58%). 8(33%) of them had acute rejection and one patient expired. The creatinine level (5–10 mg/dl) was raised 11(46%) in LDRT. Where as CDRT patients have high blood pressure, edema, and increased infection rate 14(58%), re-dialysis 8(32%), prolonged ICU stay 13(54%), acute rejection 16(67%) and with high mortality 5(21%). In comparison of LDRT and CDRT none of them under went any re-renal transplantation.

Conclusion

The findings of the study revealed that LDRT recipient has more positive outcome than DDRT recipients. Study investigators recommended further detailed study need the clarity of findings to deduct such as the ischemic time and the arteries/kidney in detail used for transplantation, follow up care, the donors lifestyle practices and their history to compare high significance.

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Keywords

LDRT -Living Donor Recipient Transplant, DDRT-Deceased Donor Recipient Transplant.

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