Utility of the Surgical Apgar Score in Kidney Transplantation: Is it Feasible to Predict ICU Admission, Hospital Readmission, Length of Stay, and Cost in This Patient Population?
Conclusion:
The findings of this study suggest that a history of stroke in the recipient may lend to a lower SAS and that a low SAS is associated with ICU admission following transplant, leading to higher hospital costs. (Source: Progress in Transplantation)
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Stoll, W. D., Taber, D. J., Palesch, S. J., Hebbar, L. Tags: Original Articles Source Type: research
Smoking Status at Time of Listing for a Heart Transplant Predicts Mortality on the Waiting List: A Multicenter Prospective Observational Study
We examined the association of smoking status at time of listing with waitlist mortality among heart transplant (HTx) candidates.
Participants and Design:
Data were analyzed from 316 participants (aged 53 ± 11; 18% female) of the Waiting for a New Heart Study, a prospective observational study of patients newly listed for HTx at 17 hospitals.
Results:
During the study period (April 2005 to March 2010), 14% of those who never smoked died, 18% among former smokers died, and almost half (42%) died among those who reported smoking at time of wait listing. Multivariate Cox regression models controlling for age, sex, an...
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Gali, K., Spaderna, H., Smits, J. M. A., Bramstedt, K. A., Weidner, G. Tags: Original Articles Source Type: research
Safety of Nurse-Led Ambulation for Patients on Venovenous Extracorporeal Membrane Oxygenation
Conclusion:
The adoption of a nurse-driven program to ambulate patients on VV ECMO is safe and may reduce other complications associated with immobility. (Source: Progress in Transplantation)
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Boling, B., Dennis, D. R., Tribble, T. A., Rajagopalan, N., Hoopes, C. W. Tags: Original Articles Source Type: research
Recurrent Psoriasis After Introduction of Belatacept in 2 Kidney Transplant Recipients
We present 2 cases of recurrent psoriasis in 2 kidney transplant patients with belatacept-based immunosuppressive regimens. Two years after transplant, upon suspicion of calcineurin inhibitor neurotoxicity in the first patient, tacrolimus was replaced with belatacept. The patient’s neurological signs resolved but the patient presented with skin lesions compatible with psoriatic plaques, successfully treated with betamethasone dipropionate and hydrocortisone. The second patient had a history of obesity and dyslipidemia, left foot amputation, and psoriasis. He received a kidney transplant, and maintenance immunosuppres...
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Cicora, F., Roberti, J. Tags: Original Articles Source Type: research
The Potential (F)utility of a Passive Organ Donor Registration Opportunity: A Conceptual Replication
Conclusion:
An ICRO, without the other components of the IIFF Model, is of minimal use in regard to garnering organ donor registrations. Future studies should use the IIFF Model to consider how the utility of ICROs can be maximized. (Source: Progress in Transplantation)
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Siegel, J. T., Alvaro, E. M., Tan, C. N., Navarro, M. A., Garner, L. R., Jones, S. P. Tags: Original Articles Source Type: research
Self-Reported Employment Status and Social Participation After Successful Kidney Transplantation
Conclusion:
Posttransplant, these individuals are more likely to participate in social and leisure activities, but the majority did not resume employment and continued to receive disability payments. Future studies could explore barriers to employment in patients who underwent successful transplantation and the causes and factors as to why these individuals continue to receive disability benefits. (Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Parajuli, S., Singh, J., Sandal, S., Liebman, S. E., Demme, R. A. Tags: Original Articles Source Type: research
A Website Intervention to Increase Knowledge About Living Kidney Donation and Transplantation Among Hispanic/Latino Dialysis Patients
Conclusions:
Web-based education for patients undergoing dialysis can effectively increase Hispanics’ knowledge about transplantation and living kidney donation. Study limitations include small sample size and single geographic region study. Dialysis facilities could enable website access as a method of satisfying policy requirements to provide education about kidney transplantation. (Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Gordon, E. J., Feinglass, J., Carney, P., Vera, K., Olivero, M., Black, A., OConnor, K. G., Baumgart, J. M., Caicedo, J. C. Tags: Original Articles Source Type: research
Role Development of Nurse Practitioners and Physician Assistants in Liver Transplantation
Conclusion:
We have determined that surgical and medical NPs and PAs are essential for optimal patient outcomes. They facilitate a better learning experience for residents and fellows on their transplant rotations. Further investigations to assess the roles of these providers and their impact on the education of residents and fellows in transplantation are warranted. Further transplant hepatology education programs and/or fellowships are recommended to assist in the education and professional development of transplant NPs and PAs. (Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Chaney, A. J., Harnois, D. M., Musto, K. R., Nguyen, J. H. Tags: Original Articles Source Type: research
A Prospective Study of Depression and Weight Change After Kidney Transplant
Context:
Kidney transplant recipients have great risk for gaining significant weight (upward of 10 kg) in the first year posttransplant. Clinical depression can occur in response to life situations and is associated with weight gain.
Objective:
To explore the association between demographic characteristics, weight change, and depression posttransplantation.
Design:
Secondary data analysis on longitudinal data collected for a larger observational study. Demographic characteristics, weight, and Center for Epidemiologic Studies Depression Scale (CES-D) data were obtained at baseline (BL) (time of transplantation), 6, and 12...
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Stanfill, A., Hathaway, D., Bloodworth, R., Cashion, A. Tags: Original Articles Source Type: research
Patterns and Predictors of Sleep Quality Within the First Year After Lung Transplantation
Conclusion:
Nearly one-third of LTRs reported persistent poor sleep through year 1. More females reported poor sleep quality, and sleep quality was inversely related to mental HRQOL by 12 months. Knowledge of these relationships may help identify LTRs at the greatest risk for poor sleep and guide strategies to promote sleep and optimize HRQOL. (Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Fatigati, A., Alrawashdeh, M., Zaldonis, J., Dabbs, A. D. Tags: Original Articles Source Type: research
New-Onset Diabetes After Kidney Transplantation and Pretransplant Hypomagnesemia
Conclusion:
Pretransplant hypomagnesemia is an independent risk factor of NODAT. Therefore, it is necessary to closely monitor the Mg levels in the posttransplant period. (Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Sinangil, A., Celik, V., Barlas, S., Sakaci, T., Koc, Y., Basturk, T., Akin, E. B., Ecder, T. Tags: Original Articles Source Type: research
Living Kidney Donors Information Needs and Preferences
This study revealed limited usefulness of certain CMS-mandated topics and a desire for additional information about donation. Efforts to standardize the informed consent process should incorporate donors’ perspectives as to the specific topics, quantity of information, and the mode of communication found most useful when considering living donation. (Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Traino, H. M., Nonterah, C. W., Gupta, G., Mincemoyer, J. Tags: Original Articles Source Type: research
Integration of Clinical Examination, Self-Report, and Hair Ethyl Glucuronide Analysis for Evaluation of Patients With Alcoholic Liver Disease Prior to Liver Transplantation
Conclusions:
Selective use of hETG based on the clinical interview rather than widespread screening is a possible way to detect excessive alcohol consumption in patients with ALD in the transplant setting. The primary evaluation of a patient’s situation in its entirety should remain the superordinate standard procedure. An interdisciplinary approach to transplant candidates with an ALD is asked for. (Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Beckmann, M., Paslakis, G., Böttcher, M., Helander, A., Erim, Y. Tags: Original Articles Source Type: research
Psychological Issues Associated With Absolute Uterine Factor Infertility and Attitudes of Patients Toward Uterine Transplantation
Conclusion:
The study demonstrates a keen interest in UTx, partly because other options seem difficult to access. It is worth noting that people appear to be distancing themselves from the risk. This requires careful assessment in any clinical program. This study is the first to demonstrate a qualitative relationship between patients with AUFI and their curiosity and desire for UTx. It paves the way for forming the introduction into the psychological assessment of a potential patient. (Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Saso, S., Clarke, A., Bracewell-Milnes, T., Saso, A., Al-Memar, M., Thum, M.-Y., Yazbek, J., Priore, G. D., Hardiman, P., Ghaem-Maghami, S., Smith, J. R. Tags: Original Articles Source Type: research
Experience With a New Process--Condition T--for Uncontrolled Donation After Circulatory Determination of Death in a University Emergency Department
Conclusions:
It is feasible to create a process to rapidly intervene in the ED for uDCD. However, no organ transplants resulted. The utility and sustainability of an uDCD program in this particular setting are questionable. (Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: DeVita, M. A., Callaway, C. W., Pacella, C., Brooks, M. M., Lutz, J., Stuart, S. Tags: Original Articles Source Type: research
