Utilization of the emergency department by kidney transplant recipients: a retrospective cohort study from a high-volume transplant center

Sabbah, Belal Nedal; Alghafees, Mohammad; Sabbah, Ahmad Nedal; Arabi, Tarek Ziad; Abdul Rab, Saleha; Alaklabi, Abdulaziz Mohammed; Abdalla, Hytham Mubarak; Maklad, Ahmed Essam; El Sarrag, Mazin Ibrahim; Hawari, Emad Sameer; Barbour, Omar Hussien; Khedr, Ahmed; Alrasheed, Faisal; Alshalhoub, Mohammed; Sayedahmed, Ghali; Alshuwaier, Khalid; Alkharashi, Yasser; Albassam, Abdulrahman; Bin Ofisan, Salman; Altamimi, Abdulrahman

doi:10.1097/ms9.0000000000000481

Cited by 1 publication

(2 citation statements)

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“…Out of 5225 visits to the ED, 2265 (41%) were within the first year, and 1,501 (66%) of those visits were within the first six months. Two similar studies had shown similar results, with ED visits within the first six months accounting for 60% of total visits within the first year [ 14 , 16 ]. The study conducted in South Korea was more similar to this study’s methodology, with visits three years post-live transplant being assessed.…”

Section: Discussionmentioning

confidence: 64%

“…Our study aims to characterize liver transplant patients’ visits to the ED and identify any risk factors that contributed to those visits. Along with the very recent study assessing kidney transplant patients’ visits to the ED [ 14 ], this study will provide a better understanding and picture of the current status of organ transplant patients’ visits to the ED.…”

Section: Introductionmentioning

confidence: 99%

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Emergency Department Frequentation and Unscheduled Visits of Liver Transplant Patients: Ten Years Experience in Tertiary Care Center, Saudi Arabia

Aljumaa,

AlShathri,

Aljumaa

et al. 2023

Cureus

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Introduction and objectives Liver transplantation and its indications represent an increased burden on patients' health. This can be represented in a variety of ways, such as in emergency visits, unscheduled clinic visits, and unanticipated admissions. This study aims to analyze emergency department (ED) visits, the most common presenting complaints, and the outcomes of those visits. Methods A retrospective observational study was performed in which electronic medical records were reviewed for all patients who underwent liver transplantation and presented to the emergency department between October 2011 and October 2021. The following data were collected: demographics, comorbidities, liver transplant features, and emergency department visit data and outcomes. Recurrent visits were assessed and labeled as first, second, third, fourth, and fifth or more. Results A total of 699 patients and 5,225 visits were included in the analysis. Living donors accounted for 80% of all transplants. The mean post-operative length of stay was 22.6 ± 17.8. The majority of patients (74%) had at least one comorbidity, with diabetes (47%), hypertension (31%), and chronic kidney disease (CKD) (16%) being the commonest comorbidities; however, comorbidities were not associated with an increased risk of emergency department visits. Out of the 5,225 visits to the emergency department, 2,265 (41%) were within the first year. Emergency department visits in the first seven days after discharge amounted to 22% of total first visits. By 30 days, six months, and one year, they increased to 46%, 83%, and 91%, respectively. Living donor recipients had an average of 7.3 ED visits as compared to deceased donor recipients, who had an average of 8.4 ED visits. The most common presenting complaints were gastrointestinal (GI) symptoms (18%), infectious disease symptoms (9%), and respiratory symptoms (8%). There were a total of 296 patients who were readmitted at least once since discharge after liver transplantation. Conclusion The majority of first-time presentations to ED occurred in the first year post-transplant, marking this time period as critical for liver transplant patients. Our study also highlighted the continual presentations of liver transplant patients to the ED a few years post-transplant. This requires close scrutiny of the main causes of such presentations as well as comparison with other transplant cases to identify whether they are specific to liver transplants or not.

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%