The Reasons of Renal Transplant Recipients' Admission to the Emergency Department; a Case Series Study

Emerg (Tehran). 2016 Nov;4(4):207-210.

Abstract

Introduction: Renal transplantation are admitted to emergency department (ED) more than normal population. The present brief report aimed to determine the reasons of renal transplant patients' ED visits.

Methods: This retrospective case series study analyzed the reasons of renal transplant recipients' admission to one ED between 2011 and 2014. The patient data were collected via a checklist and presented using descriptive statistics tools.

Results: 41 patients with the mean age of 40.63 ± 10.95 years were studied (60.9% male). The most common ED presenting complaints were fever (36.6%) and abdominal pain (26.8%). Infections were the most common final diagnosis (68.3%). Among non-infectious causes, the most common was acute renal failure (9.7 %). 73.2% of the patients were hospitalized and no cases of graft loss and mortality were seen.

Conclusion: The most common reason for ED admission was fever, and infections were the most common diagnosis. Acute gastroenteritis being the most frequent infection and among non-infectious problems, acute renal failure was the most frequent one.

Keywords: Kidney transplantation; emergency service; epidemiologic studies; hospital; patient readmission.