STUDY OF THE DEMOGRAPHIC AND CLINICAL STATUS, MEDICAL HISTORY LIVING DONOR KIDNEY PRIOR TO DONATION AND RELATED FACTORS WITH DURATION OF HOSPITALIZATION AFTER NEPHRECTOMY IN TRANSPLANT CENTER OF IMAM KHOMEINI HOSPITAL, URMIA (1996 - 2015)

摘要

Background &?Aims : The superior results achieved with kidney transplantation from living donors have resulted in an increase in this method of transplantation. But donors need to have a major operative procedure that is associated with morbidity and mortality. Duration of hospitalization after surgery is a measure to express health consequences as well as one of the most important determinants of the cost of the transplant. Therefore, this study aimed to study the demographic status, medical history and clinical living donor kidney prior to donation and related factors the duration of hospitalization after nephrectomy in transplant center of Imam Khomeini Hospital, Urmia. Materials & Methods : We conducted a retrospective cohort study that was conducted on 1463 living donors who were operated in transplant center of Imam Khomeini Hospital, between 21March 1996 to 19 March 2015. Associations between demographic variables and clinical findings before kidney donation and health history of patients with duration of hospitalization after kidney donation were analyzed using Mann-Whitney U-test Results : There were 1367 (93.4%) male and 96 (6.6%) female donors. The mean donation age, systolic blood pressure, Diastolic (Nephrectomy before) and after nephrectomy duration of hospitalization were 27.92±5.34 years, 112.12 ±10.5 &71.28±8.89 mmHg and 3.14±0.96 days, respectively. The prevalence of tobacco use, hypertension, hospitalization history and drug was 61.2%, 3%, 27.4% and 5.7%, respectively. Being older than 40 years (p0.001), female (p0.05), non-smoking (p0.001), lack of hospitalization before donation (p0.01), relative affinity relationship with the receiver (p0.001) and right kidney donation (p0.05) were the factors that increased the duration of hospitalization after nephrectomy. Conclusion : It is recommended to minimize the duration of hospitalization for donors after surgery, using male gender younger than 40 years old.