ESPN 50th Annual Meeting

ESPN 2017


 
The Effect of Pretransplant Long Term Anuria on Graft Outcome in Children
BEGÜM AVCI 1 ESRA BASKIN 1 KAAN GÜLLEROĞLU 1 ÖZLEM KAZANCI 1 MAHIR KIRNAP 2 GÖKHAN MORAY 2 MEHMET HABERAL 2

1- PEDIATRIC NEPHROLOGY, BASKENT UNIVERSITY, ANKARA, TURKEY
2- GENERAL SURGERY, BASKENT UNIVERSITY, ANKARA, TURKEY
 
Introduction:

 There is little data on the course of allografts in patients with long term anuria. We aimed to determine the effect of pre transplant long term anuria on graft outcomes in children. 

Material and methods:

 We retrospectively scanned the data files of 133 renal transplant recipients. Patients divided two groups as long term and short term pre transplant anuria (less and more than six months). These two groups compared with non-oliguric patients in terms of graft outcomes.

Results:

 21 of 133 patients were short term anuric (10 male, 11 female), 25 of them were long term anuric (11 male, 14 female) and 87 were non-anuric (53 male, 34 female). Bladder capacity of non-anuric patients was 295±135 ml,  and 248.3±140.83 ml in short term anuric patients, 126.8±72.38 ml in long term anuric patients(p<0.05). There was no difference in glomerular filtration rates of the groups in the 1st and 3rd years. Graft loss rate were; % 5.7 in non-anuric patients, %14 in six months short anuric patients, %24 in six months long anuric patients. There was a positive correlation between the rate of graft loss  and anuria in patients with anuria (r: 0,25 p=0,03).

Conclusions:

 Long-term outcomes in anuric patients prior to transplant worse than non-anuric patients. This result emphasizes the importance of early term or preemptive kidney transplant.