Abstract

BORROTO DIAZ, Gerardo  and  GUERRERO DIAZ, Carlos. Use of kidneys for renal transplant from donors aged 55 and over. Rev cubana med [online]. 2011, vol.50, n.2, pp. 167-178. ISSN 1561-302X.

Introduction: One of the major obstacles for renal transplantation is the donor shortage versus the increasing number of recipients, being necessary the use of viscera from old age donors. Objectives: To know what the use frequency of donors aged 55 or more in our center, the results obtained and the potential main complications. Methods: A retrospective and descriptive and of cases-control study was conducted including all transplantations carried out in the "Hermanos Ameijeiras" Clinical Surgical Hospital from 1984 to 2008, sample was divided into two groups according to donor's age, 55 years or more and under 55. Results: Use frequency of donors aged 55 was only of the 10,6% of sample, 2,8% for live donor and 12,5% for cadaver, time of cold ischemia and the recipient's age was great in the group where were used old age donors, justifying a more frequent and lasting appearance of complications like the acute tubular necrosis, as well as a low rate of discharge function in this group. The urologic and vascular complications were more frequent and influenced on the lost of transplantations compared to control group. Although graft survival was less in present study, in group whose transplantations came from older donors there`s not doubt that if conditions involved in this practice in our institution are improved, the use of old age donors is a valid option.

Keywords : Renal transplantation; old-age donors; complications; grafts survival.

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