[Renal transplantation program at the Centenario Hospital Miguel Hidalgo in Aguascalientes, Mexico].
BACKGROUND
Miguel Hidalgo Hospital in Aguascalientes is dependent from the Federal Secretary of Health and operates in integrity with State health system in Aguascalientes. It capacity is based on 132 censored beds and 71 no censored beds. Is considered a specialty hospital in the region of Bajío. Renal transplant program activity was initiated in 1990 and gives care for adult and pediatric population.


METHODS
Retrospective, comparative and longitudinal study to describe and analyze our experience. Data base and clinical charts of renal transplant recipients were reviewed. Age, gender, date of transplant, etiology of renal disease, type of donor, HLA compatibility and PRA, immunosuppressive therapy, acute rejection, serum creatinina, graft loss and mortality were registered. Statistical analysis included 2, unpaired Student T test and Kaplan-Meier survival analysis with Log Rank test. Cox Analysis was also done.


RESULTS
1050 renal transplants were done from November 1990 to June 2011. 50 were excluded because follow-up was not longer than 3 months. 1000 consecutive renal transplant patients from January 1995 to June 2011 were included for analysis. Patients were divided in 2 groups: group A transplanted January 1995 to December 2004; group B transplanted January 2005 to June 2011. Etiology for end stage renal disease is unknown in 61% of cases, 11% developed renal disease to diabetes mellitus. 93% patient survival was observed at median follow-up and 84.9% graft survival at median follow-up (6 years). Biopsy proven acute rejection in group A 19.9 vs. 10% in group B. Two haplotype matching shows 92% graft survival. Diabetic patients exhibit 73% graft survival vs. other as hypertension (87%). PRA >0 and serum creatinine > 2.0 mg/dL increase risk for graft loss according to Cox analysis. CONCLUSION. Results are comparable to international data. Importance of developing regional transplant centers is emphasized.
Servicio de Trasplantes del Departamento de Cirugia, Centenario Hospital Miguel Hidalgo, Aguascalientes. rafael.reyes@clinicasancosme.com.mx
Rafael
R
Reyes-Acevedo
Luis
L
Romo-Franco
Rodolfo
R
Delgadillo-Castañeda
Iraida
I
Orozco-Lozano
Miriam
M
Melchor-Romo
Enrique
E
Gil-Guzmán
Salvador
S
Lupercio-Luévano
Sandra
S
Cervantes
Imelda
I
Dávila
Alfredo
A
Chew-Wong
D000328:Adult; D005260:Female; D006761:Hospitals; D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D008137:Longitudinal Studies; D008297:Male; D008800:Mexico; D012189:Retrospective Studies