Utilization of the emergency department by kidney transplant recipients: a retrospective cohort study from a high-volume transplant center

Author:

Sabbah Belal Nedal1,Alghafees Mohammad2,Sabbah Ahmad Nedal1ORCID,Arabi Tarek Ziad1,Abdul Rab Saleha1ORCID,Alaklabi Abdulaziz Mohammed1,Abdalla Hytham Mubarak1,Maklad Ahmed Essam1ORCID,El Sarrag Mazin Ibrahim1,Hawari Emad Sameer1,Barbour Omar Hussien1,Khedr Ahmed1ORCID,Alrasheed Faisal2,Alshalhoub Mohammed3,Sayedahmed Ghali3,Alshuwaier Khalid2,Alkharashi Yasser2,Albassam Abdulrahman2,Bin Ofisan Salman4ORCID,Altamimi Abdulrahman5

Affiliation:

1. College of Medicine, King Saud bin Abdulaziz University for Health Sciences

2. King Abdullah International Medical Research Center

3. Department of Hepatibbiliary Transplantation, King Abdulaziz Medical City

4. College of Medicine, Prince Sattam Bin Abdulaziz University. Al-Kharj, Saudi Arabia

5. Department of Transplantation, King Abdulaziz Medical City, Riyadh

Abstract

Background: This study aims to assess the trends of emergency department (ED) visits among kidney transplant recipients in a high-volume transplant centre. Methods: This retrospective cohort study targeted patients who underwent renal transplantation at a high-volume transplant centre from 2016 to 2020. The main outcomes of the study were ED visits within 30 days, 31–90 days, 91–180 days, and 181–365 days of transplantation. Results: This study included 348 patients. The median (interquartile range) age of patients was 45.0 years (30.8, 58.2). Over half of the patients were male (57.2%). There was a total of 743 ED visits during the first year after discharge. 19% (n=66) were considered high-frequency users. High-volume ED users tended to be admitted more frequently as compared to those with low frequencies of ED visits (65.2% vs. 31.2%, respectively, P<0.001). Conclusion: As evident by the large number of ED visits, suitable coordination of management through the ED remains a pivotal component of post-transplant care. Strategies addressing prevention of complications of surgical procedures or medical care and infection control are aspects with potential for enhancement.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference22 articles.

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