Open Journal of Internal Medicine

Volume 4, Issue 2 (June 2014)

ISSN Print: 2162-5972   ISSN Online: 2162-5980

Google-based Impact Factor: 0.18  Citations  

Pulmonary Complications as a Cause of Death after Renal Transplantation

HTML  Download Download as PDF (Size: 925KB)  PP. 41-46  
DOI: 10.4236/ojim.2014.42007    2,866 Downloads   3,660 Views  Citations


Objectives: To analyse the risk factors for death as a result of pulmonary complications in kidney transplant patients. Material and Methods: 267 patients after renal transplantation were prospectively studied. The kidney recipients were followed for the development of pulmonary complications and their outcome for a period of 7 years. Different noninvasive and invasive diagnostic tests were used in cases suspected for lung disease. Results: Risk factors for death as a result of pulmonary complications are development of lung diseases in the first six months after operation (P < 0.05), and immunosuppressive regimens that include mycophenolate mofetil (HR: 3.216; 95% CI: 1.067 - 5.577; P = 0.011). The factors associated with lower rate of fatal outcome are positive serology test for Cytomegalovirus of the recipient before transplantation (P = 0.034) and use of azathioprine (HR: 0.720; 95% CI: 0.526 - 0.986; P = 0.04). Conclusions: The risk factors may be used to identify patients at increased risk for death due to the pulmonary complications. Strictly monitoring of higher-risk patients can reduce the morbidity and mortality after renal transplantation.

Share and Cite:

Pencheva, V. , Petrova, D. , Genov, D. and Georgiev, O. (2014) Pulmonary Complications as a Cause of Death after Renal Transplantation. Open Journal of Internal Medicine, 4, 41-46. doi: 10.4236/ojim.2014.42007.

Cited by

[1] Living-versus deceased-donor renal transplant recipients: A comparison on pulmonary complications
[3] Function of external respiration in patients after kidney transplantation under conditions of immunosuppressive therapy.
[4] When kidneys and lungs suffer together
[5] The diagnostic yield and complications of open lung biopsies in kidney transplant patients with pulmonary disease
Journal of thoracic disease, 2017
[6] Mycophenolate Mofetil and Pulmonary Fibrosis After Kidney Transplantation: A Case Report
The American journal of case reports, 2017
[7] Factors associated with hospital mortality in renal transplant patients admitted to the intensive care unit with acute respiratory failure
[8] Fatores associados à mortalidade hospitalar em pacientes com transplante renal admitidos na unidade de terapia intensiva com insuficiência respiratória …

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.