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• W3201207812 abstract "Abstract Chronic kidney disease affects hemostasis in complex ways, producing both thrombotic and hemorrhagic diatheses. These changes may impact patient morbidity and mortality pre-transplantation, as well as allograft survival after kidney transplantation (KT). This study was conducted to analyze changes in hemostatic factors in the early post-KT period. We retrospectively analyzed 676 recipients of kidney allografts from December 2009 to December 2014. Patients receiving plasmapheresis pre- or post-KT, experiencing early allograft failure, or receiving anticoagulants or antiplatelet agents pre- or post-KT were excluded. Of the 367 included patients, acute (≤1 month) rejection occurred in 4.1% and delayed graft function occurred in 3.3%. Postoperative bleeding complications occurred in 7.9% of patients and thrombotic complications in 3.3%. Pre-transplantation, recipients had below normal hemoglobin, above normal d -dimer and homocysteine levels, and elevated rates of antiphospholipid antibodies. Hemoglobin increased to almost normal by postoperative day (POD) 28 ( P < .001). d -dimer increased on POD7, 14, and 28, although the values were not significantly different from pre-KT. The pattern of d -dimer changes suggested that they were a nonspecific consequence of major surgery. Homocysteine decreased to normal by POD7 ( P < .001). The percentage of patients with ≥1 prothrombotic factor was 82.0% pre-KT and only 14.2% on POD28 ( P < .001). The most of patients exhibited prothrombotic tendencies, including increased d -dimer and homocysteine, and increased prevalence of antiphospholipid antibodies before transplantation. They also had pre-transplantation anemia, suggesting a concomitant bleeding diathesis. However, most of these abnormal hemostatic factors improved or resolved after KT." @default.
• W3201207812 created "2021-09-27" @default.
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• W3201207812 date "2021-09-10" @default.
• W3201207812 modified "2023-10-14" @default.
• W3201207812 title "Changes in hemostatic factors after kidney transplantation" @default.
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• W3201207812 doi "https://doi.org/10.1097/md.0000000000027179" @default.
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