Carbonell, Beatriz Barberá; Zingg, Tobias; Matter, Maurice; Joliat, Gaëtan-Romain; Martin, David; Pascual, Manuel; Demartines, Nicolas; Golshayan, Dela; Cano, Luis; Labgaa, Ismail (2024). Assessing the perioperative gain of weight (Δweight) as a determinant of morbidity after kidney transplantation: a retrospective exploratory study. Scientific Reports, 14(13384) Nature Publishing Group 10.1038/s41598-024-63950-8
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Kidney transplantation (KT) is associated with a substantial risk of postoperative complications (POC) for which performant predictors are lacking. Data showed that a perioperative gain of weight (ΔWeight) was associated with higher risk of POC, but it remains unexplored in KT. This retrospective study aimed to investigate the association between ΔWeight and POC after KT. ΔWeight was calculated on postoperative day (POD) 2. POC were graded according to the Dindo-Clavien classification. Primary endpoint was overall POC. A total of 242 patients were included and 174 (71.9%) complications were reported. Patients showed a rapid gain of weight after KT. Mean ΔWeight was 7.83 kg (± 3.20) compared to 5.3 kg (± 3.56) in patients with and without complication, respectively (p = 0.0005). ΔWeight showed an accuracy of 0.74 for overall POC. A cut-off of 8.5 kg was determined. ΔWeight ≥ 8.5 kg was identified as an independent predictor of overall POC on multivariable analysis (OR 2.04; 95% CI 1.08-3.84; p = 0.025). ΔWeight ≥ 8.5 kg appeared as an independent predictor of POC after KT. These results stress the need to monitor weight in KT and to further investigate this surrogate with future studies assessing its clinical relevance.
Item Type: |
Journal Article (Original Article) |
|---|---|
Graduate School: |
Graduate School for Health Sciences (GHS) |
ISSN: |
2045-2322 |
Publisher: |
Nature Publishing Group |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
12 Jun 2024 09:31 |
Last Modified: |
13 Jun 2024 03:21 |
Publisher DOI: |
10.1038/s41598-024-63950-8 |
PubMed ID: |
38862590 |
Uncontrolled Keywords: |
Biomarkers Complications Outcomes Prediction Transplant |
BORIS DOI: |
10.48350/197774 |
URI: |
https://boris.unibe.ch/id/eprint/197774 |
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