The association between length of post‐kidney transplant hospitalization and long‐term graft and recipient survival

摘要: : Background: There has been a general trend towards shortened length of post-kidney transplant hospitalization (LOH). The decision regarding patients's discharge from the hospital theoretically may be based on several factors, including, but not limited to, patient well being, insurance status, family situation and other, mostly socio-economic as opposed to hard medical evidence. However, appropriate LOH in kidney recipients is studied long-term outcomes. Methods: This study retrospectively analysed association between graft recipient survival United States Renal Data System dataset. In total, 100 762 patients who underwent during 1995–2002 were included. Kaplan–Meier analysis Cox models applied whole cohort sub-groups stratified by presence delayed function, comorbidity index donor type (deceased or living). Results: survival, both short ( 5 d) showed significant adverse effect (p<0.01) times. long (≥2 wk) also effects (p<0.001) (<4 d) did reach statistical significance, although it was still associated with survival. These observations consistent across type. Conclusion: Clinical considerations should used make time discharge. Based this study, shorter than four d potentially harmful