Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
INTRODUCTION. Chronic kidney disease is defined as the progressive, permanent and irreversible
loss of renal function, one of the treatments is renal transplantation, which increases the
quality of life of patients with this pathology, however, despite being one of the best therapies,
it is not free of complications, especially those that occur after surgery, since they affect the
proper functioning of the graft and affect its survival. OBJECTIVE. To determine the prevalence
of clinical and surgical complications in immediate post-renal transplantation in order to identify
the main complications that cause greater deterioration in short-term renal function. MATERIAL
AND METHODS. Cross-sectional descriptive observational study, of transplanted patients
under follow-up from January 2015 to December 2018 in the Renal Transplant service of the
Hospital de Especialidades Carlos Andrade Marín. The sample will be the 211 cadaveric donor
transplanted patients. The analyses were performed with the IBM SPSS version 25 statistical
package, for which descriptive statistics were used, using tables and representing the absolute
and relative values of qualitative variables, as well as measures of central tendency and variability
for quantitative variables. RESULTS. We studied 193 transplanted patients of whom 49.66%
had complications, of which 33. Of the clinical complications, urinary tract infection was the most
prevalent with 15%, followed by acute rejection 6.7%, polyomavirus BK infections were 6.2%,
acute tubular necrosis 3.16%, ending with hyperacute rejection in 1.5% and calcineurin toxicity
1.04%. Meanwhile, urological surgical complications are the most prevalent 8.8% followed by
liquid collections with 6.74% and finally vascular thrombosis with 1.04%. CONCLUSIONS. The
most prevalent complications are clinical vs. surgical, affecting renal function at one year with no
statistically significant difference.
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