title: One center's experiences of 101 cases of kidney transplants from cardiac death donors.
abstract: OBJECTIVE
  In 2011, a pilot program of organ donation after cardiac death was begun at the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China, where we hosted one of the largest donation after cardiac death organ transplant programs in the country. We report our initial single-center experiences of kidney transplant from donation after cardiac deaths.
  
  
  METHODS
  From January 2011 to July 2013 at our center, 101 kidney transplants from donation after cardiac death donors were performed. The results of kidney transplants from donation after cardiac death donors were compared with those of 50 kidney transplants from donation after brain death performed during the same time.
  
  
  RESULTS
  Delayed graft function occurred more frequently in donation after cardiac death than donation after brain death kidneys (16.8% vs 4.0%; P = .035). There was no difference in the incidence of acute rejection between donation after cardiac death and donation after brain death kidneys (10.9% vs 6.0%). Actual 1-year graft survival rate was similar (donation after cardiac death 94.4% vs donation after brain death 96.2%). Estimated glomerular filtration rate at 12 months was similar between donation after cardiac death and donation after brain death kidneys (73.8 ± 20.0 vs 77.8 ± 22.7 mL/min/1.73 m2).
  
  
  CONCLUSIONS
  Kidney transplants from donation after cardiac death donors have comparable short-term outcomes to kidney transplants from donation after brain death donors. Donation after cardiac death can play a crucial role in overcoming the organ shortage in China.
authors.affiliation: From the Third Division of Organ Transplant Center, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
authors.forename: Xiao-peng
authors.initials: XP
authors.lastname: Yuan
authors.forename: Ming
authors.initials: M
authors.lastname: Han
authors.forename: Xiao-ping
authors.initials: XP
authors.lastname: Wang
authors.forename: Jian
authors.initials: J
authors.lastname: Zhou
authors.forename: Chuan-bao
authors.initials: CB
authors.lastname: Chen
authors.forename: Xiao-shun
authors.initials: XS
authors.lastname: He
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D001926:Brain Death; D002648:Child; D002681:China; D051799:Delayed Graft Function / Q000209:etiology / Q000503:physiopathology; D046148:Donor Selection; D005260:Female; D005919:Glomerular Filtration Rate; D006084:Graft Rejection / Q000209:etiology / Q000503:physiopathology; D006085:Graft Survival; D006331:Heart Diseases / Q000401:mortality*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects / Q000401:mortality; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D016896:Treatment Outcome; D055815:Young Adult