Each additional hour of cold ischemia time significantly increases the risk of graft failure and mortality following renal transplantation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-02

AUTHORS

Agnes Debout, Yohann Foucher, Katy Trébern-Launay, Christophe Legendre, Henri Kreis, Georges Mourad, Valérie Garrigue, Emmanuel Morelon, Fanny Buron, Lionel Rostaing, Nassim Kamar, Michèle Kessler, Marc Ladrière, Alexandra Poignas, Amina Blidi, Jean-Paul Soulillou, Magali Giral, Etienne Dantan

ABSTRACT

Although cold ischemia time has been widely studied in renal transplantation area, there is no consensus on its precise relationship with the transplantation outcomes. To study this, we sampled data from 3839 adult recipients of a first heart-beating deceased donor kidney transplanted between 2000 and 2011 within the French observational multicentric prospective DIVAT cohort. A Cox model was used to assess the relationship between cold ischemia time and death-censored graft survival or patient survival by using piecewise log-linear function. There was a significant proportional increase in the risk of graft failure for each additional hour of cold ischemia time (hazard ratio, 1.013). As an example, a patient who received a kidney with a cold ischemia time of 30 h presented a risk of graft failure near 40% higher than a patient with a cold ischemia time of 6 h. Moreover, we found that the risk of death also proportionally increased for each additional hour of cold ischemia time (hazard ratio, 1.018). Thus, every additional hour of cold ischemia time must be taken into account in order to increase graft and patient survival. These findings are of practical clinical interest, as cold ischemia time is among one of the main modifiable pre-transplantation risk factors that can be minimized by improved management of the peri-transplantation period. More... »

PAGES

343-349

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/ki.2014.304

DOI

http://dx.doi.org/10.1038/ki.2014.304

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1011677797

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25229341


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