Disorder Related to Renal Transplantation Clinical Trial
Official title:
Impact of Early Transfusions of Packed Red Cells on the Evolution of Renal Transplantation
Kidney transplantation is the treatment of choice for ESRD. However, the life expectancy of
kidney transplant patients is lower than that of the general population. Deaths recipients
are due mainly to cardiovascular diseases related to a chronic inflammatory state. In
addition, renal transplant patients frequently have anemia, identified as an independent
cardiovascular risk factor that can be corrected by blood transfusion.
But the relationship between transfusion and inflammatory condition are bidirectional. The
patient's inflammatory condition will sound on the effectiveness of transfusion and
transfusion could trigger an inflammatory condition. This has been reported with the said
blood components "aged", especially with packed red cells in patients hospitalized in
intensive care after heavy heart surgery.The main objective of this study is to evaluate the
impact of early transfusions on the evolution of renal transplantation (ie death, anti-HLA
immunization, acute rejection, graft loss, delayed graft function, cardiovascular events )
taking into account in the analysis: patient age at the time of transplantation, the number
of incompatibility (s) (HLA class I and / or II) between the graft and the patient and sex
of the recipient.
This is a multicenter retrospective observational study (descriptive epidemiological
study).The impact of early transfusions is determined retrospectively over a period of 6
years from 01 January 2002 to 31 December 2008, in renal transplant patients of all centers
of France met the criteria for inclusion. This cohort represents about 12 000-14 000
patients
n/a
Observational Model: Case Control, Time Perspective: Retrospective
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