AI Article Synopsis

  • Hypothermic machine perfusion (HMP) influences kidney transplantation outcomes, with donor variables playing a crucial role in predicting both short-term and long-term results.
  • Data from all kidney transplants at the center from May 2013 to November 2017 were analyzed using logistic regression to identify significant factors affecting pump performance.
  • Key findings indicated that donor characteristics such as BMI, age, and kidney donor profile index (KDPI) significantly impact kidney function during and after HMP, influencing both early graft function and long-term outcomes.

Article Abstract

Background: Hypothermic machine perfusion (HMP) parameters are influenced by donor variables which further affect recipient outcome. Interplay between these parameters can help to predict kidney performance on pump and the long term outcome.

Methods: All the kidneys transplanted at our center between May 2013 through November 2017 were included in the study. Donor and recipient data was obtained from internal database. Multiple logistic regression models with backward selection were used to determine significant donor and pump variables.

Results: Donor BMI, KDPI, age and donor sex had a significant association with pump flow. Donor sex, donor type, KDPI and age had significant effect on RI. Diastolic pressure and KDPI were significantly associated with DGF. Duration on pump, KDPI, flow, donor creatinine and type of donor were significantly associated with day 5 creatinine. KDPI was significantly associated with Day 365 creatinine.

Conclusion: HMP effects early graft function while the long term function depends on donor parameters.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017432PMC
http://dx.doi.org/10.1016/j.amjsurg.2021.06.019DOI Listing

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