Title
Noninfectious and infectious complications and their related characteristics in heart transplant recipients at a national institute
Date Issued
01 April 2018
Access level
metadata only access
Resource Type
journal article
Publisher(s)
Baskent University
Abstract
Objectives: Complications, which affect the morbidity and mortality of patients after heart transplant, can be divided into infectious and noninfections complications. Here, we analyzed both infectious and noninfectious complications and their relation to clinical, laboratory, and surgical characteristics in a Latin American heart transplant population. Materials and Methods: Data were obtained from records of 35 heart transplant patients in the period from 2010 to 2015. Noninfectious and infectious complications were divided into 3 time intervals: within the first month, from month 2 to 6, and after month 6. Relations between complications and clinical, laboratory and surgical variables in different interval times were analyzed. Results: In our patient group, 70 infectious and 133 noninfectious complications were reported after heart transplant. Infectious complications occurred more often between months 2 and 6 after heart transplant, whereas noninfectious complications occurred more often during the first month. Bacteria were the most common microorganism, and acute graft rejection was the most common noninfectious complication. Moreover, infectious complications were statistically related to 5 factors at month 1 (intraoperative bleeding, normal postsurgery leukocyte level, mild malnutrition, severe malnutrition, and graft rejection), to 3 factors between months 2 and 6 (diabetes mellitus, stage 2 chronic kidney disease, and cryoprecipitate trans-fusions), and to 2 factors after month 6 (prothrombin time and psychologic diagnosis). Conclusions: Our results demonstrated that nonin-fectious complications should be anticipated first in patients after heart transplant. In addition, there are characteristics associated with infectious complications that can be seen during a specific time period.
Start page
191
End page
198
Volume
16
Issue
2
Language
English
OCDE Knowledge area
Sistema cardiaco, Sistema cardiovascular Enfermedades infecciosas
Scopus EID
2-s2.0-85045126157
PubMed ID
Source
Experimental and Clinical Transplantation
ISSN of the container
13040855
Sources of information: Directorio de Producción Científica Scopus