A simple cardiovascular risk score can predict poor outcome in non-heart-beating donor renal transplantation.
A simple cardiovascular risk score used in our centre to plan cardiovascular work-up for renal transplantation can predict outcome in non-heart-beating donor (NHBD) renal transplantation. Patients in the higher-risk group, with a score of >12 of a maximum of 36 are likely to have a longer duration of delayed graft function, poorer glomerular filtration rate at 6 months, and inferior graft and patient survival, together with a relative rate of graft loss within 60 days of 4.514 (P = .019) and within 1 year of 3.511 (P = .036). Although a high cardiovascular risk score should not be regarded as a contraindication to NHBD transplantation, the score can be used to facilitate recipient selection.
Asher
J
J
Liver and Renal Transplant Unit, Freeman Hospital, Newcastle upon Tyne, United Kingdom. john.asher@btinternet.com
Oliver
A
A
Wilson
C
C
Gupta
A
A
Gok
M
M
Balupuri
S
S
Shenton
B
B
Rix
D
D
Soomro
N
N
Jaques
B
B
Manas
D
D
Ward
M
M
Talbot
D
D
D000328:Adult; D000368:Aged; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D006085:Graft Survival / Q000502:physiology*; D006323:Heart Arrest; D006801:Humans; D016030:Kidney Transplantation / Q000502:physiology*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D014019:Tissue Donors; D016896:Treatment Outcome