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Análisis sociodemográfico, clínico, de fragilidad y complicaciones pos-donación en candidatos a donantes de riñón: estudio descriptivo de cohorte retrospectivo.

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Title: Análisis sociodemográfico, clínico, de fragilidad y complicaciones pos-donación en candidatos a donantes de riñón: estudio descriptivo de cohorte retrospectivo.
Alternate Title: Sociodemographic, clinical, frailty and post-donation complications analysis in kidney donor candidates: a descriptive retrospective cohort study.
Authors: Carreras-Carbonell, María Xuan1, Pedreira-Robles, Guillermo2,3,4 gpedreira@psmar.cat, Bach-Pascual, Anna2, Pérez-Sáez, María José2,5, Redondo-Pachón, Dolores2,5, Crespo-Barrio, Marta2,5, Padrosa-Sayeras, Eva3,4
Source: Enfermería Nefrológica. oct-dic2024, Vol. 27 Issue 4, p306-313. 8p.
Subjects: KIDNEY transplantation, RISK assessment, STATISTICAL correlation, FRAIL elderly, ORGAN donation, SYMPTOMS, RETROSPECTIVE studies, SURGICAL complications, LONGITUDINAL method, RESEARCH, SOCIODEMOGRAPHIC factors, DISEASE risk factors
Geographic Terms: SPAIN
Abstract (English): Introduction: Frailty is a determinant in the health assessment of renal transplant donors and recipients. It is linked to increased surgical risk and poorer postoperative outcomes. However, the impact of frailty in kidney donor candidates (KDC) has yet to be investigated. Objectives: To describe the socio-demographic and clinical characteristics of a cohort of renal donor candidates in Spain and to analyse the relationship between frailty, suitability for donation, and surgical complications. Material and Method: A retrospective cohort study that included KDC was evaluated between April 2020 and April 2024 at the Hospital del Mar in Barcelona. Socio-demographic, clinical, and frailty data were collected; statistical analyses included Chi-square and T-Student tests (p<0.05). Results: A total of 231 KDCs completed the first phase of evaluation. The majority were women (61.9%), with a mean age of 56.31±12.95 years and a medium-high or high socioeconomic level (76.62%). According to the Fried scale, 25% (n=27) and 0.93% (n=1) of the KDC had pre-frailty and frailty, respectively, while no frailty was undetected. 30.49% (n=75) of KDC were accepted for donation. Postoperative complications included dehiscence, bleeding, and seroma (n=1; 1.33% each). Conclusions: This study highlights the low prevalence of frailty among KDC and its limited association with surgical complications. However, cardiovascular risk factors remain key in the evaluation. Further research is needed to improve the safety of the donation process. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La fragilidad es determinante en la evaluación de la salud de donantes y receptores de trasplante renal, vinculada con un mayor riesgo quirúrgico y peores resultados postoperatorios. Sin embargo, el impacto de la fragilidad en candidatos a donantes renales no ha sido investigado. Objetivos: Describir las características sociodemográficas y clínicas de una cohorte de candidatos a donantes renales en España, y analizar la relación entre la fragilidad, la idoneidad para la donación y las complicaciones quirúrgicas. Material y Método: Estudio de cohorte retrospectivo que incluyó a candidatos a donantes renales evaluados entre abril de 2020 y abril de 2024 en el Hospital del Mar de Barcelona. Se recopilaron datos sociodemográficos, clínicos y de fragilidad; los análisis estadísticos incluyeron pruebas Chi-cuadrado y T-Student (p<0,05). Resultados: 231 candidatos a donantes renales completaron la primera fase de evaluación. La mayoría fueron mujeres (61,9%), con una edad promedio de 56,31±12,95 años y un nivel socioeconómico medio-alto o alto (76,62%). Según la escala Fried, el 25% (n=27) y el 0,93% (n=1) de los cDR presentaron pre-fragilidad y fragilidad, respectivamente; en la escala Frail, no se detectó fragilidad. El 30,49% (n=75) fueron aceptados para la donación. Las complicaciones postoperatorias incluyeron dehiscencia, sangrado y seroma (n=1; 1,33% cada una). Conclusiones: Este estudio destaca la baja prevalencia de fragilidad entre los candidatos a donantes renales y su limitada relación con complicaciones quirúrgicas. Sin embargo, los factores de riesgo cardiovascular siguen siendo clave en la evaluación. Se requieren investigaciones adicionales para mejorar la seguridad del proceso de donación. [ABSTRACT FROM AUTHOR]
Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: An&#225;lisis sociodemogr&#225;fico, cl&#237;nico, de fragilidad y complicaciones pos-donaci&#243;n en candidatos a donantes de ri&#241;&#243;n: estudio descriptivo de cohorte retrospectivo.
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– Name: Abstract
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  Data: Introduction: Frailty is a determinant in the health assessment of renal transplant donors and recipients. It is linked to increased surgical risk and poorer postoperative outcomes. However, the impact of frailty in kidney donor candidates (KDC) has yet to be investigated. Objectives: To describe the socio-demographic and clinical characteristics of a cohort of renal donor candidates in Spain and to analyse the relationship between frailty, suitability for donation, and surgical complications. Material and Method: A retrospective cohort study that included KDC was evaluated between April 2020 and April 2024 at the Hospital del Mar in Barcelona. Socio-demographic, clinical, and frailty data were collected; statistical analyses included Chi-square and T-Student tests (p&lt;0.05). Results: A total of 231 KDCs completed the first phase of evaluation. The majority were women (61.9%), with a mean age of 56.31&#177;12.95 years and a medium-high or high socioeconomic level (76.62%). According to the Fried scale, 25% (n=27) and 0.93% (n=1) of the KDC had pre-frailty and frailty, respectively, while no frailty was undetected. 30.49% (n=75) of KDC were accepted for donation. Postoperative complications included dehiscence, bleeding, and seroma (n=1; 1.33% each). Conclusions: This study highlights the low prevalence of frailty among KDC and its limited association with surgical complications. However, cardiovascular risk factors remain key in the evaluation. Further research is needed to improve the safety of the donation process. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
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  Data: Introducci&#243;n: La fragilidad es determinante en la evaluaci&#243;n de la salud de donantes y receptores de trasplante renal, vinculada con un mayor riesgo quir&#250;rgico y peores resultados postoperatorios. Sin embargo, el impacto de la fragilidad en candidatos a donantes renales no ha sido investigado. Objetivos: Describir las caracter&#237;sticas sociodemogr&#225;ficas y cl&#237;nicas de una cohorte de candidatos a donantes renales en Espa&#241;a, y analizar la relaci&#243;n entre la fragilidad, la idoneidad para la donaci&#243;n y las complicaciones quir&#250;rgicas. Material y M&#233;todo: Estudio de cohorte retrospectivo que incluy&#243; a candidatos a donantes renales evaluados entre abril de 2020 y abril de 2024 en el Hospital del Mar de Barcelona. Se recopilaron datos sociodemogr&#225;ficos, cl&#237;nicos y de fragilidad; los an&#225;lisis estad&#237;sticos incluyeron pruebas Chi-cuadrado y T-Student (p&lt;0,05). Resultados: 231 candidatos a donantes renales completaron la primera fase de evaluaci&#243;n. La mayor&#237;a fueron mujeres (61,9%), con una edad promedio de 56,31&#177;12,95 a&#241;os y un nivel socioecon&#243;mico medio-alto o alto (76,62%). Seg&#250;n la escala Fried, el 25% (n=27) y el 0,93% (n=1) de los cDR presentaron pre-fragilidad y fragilidad, respectivamente; en la escala Frail, no se detect&#243; fragilidad. El 30,49% (n=75) fueron aceptados para la donaci&#243;n. Las complicaciones postoperatorias incluyeron dehiscencia, sangrado y seroma (n=1; 1,33% cada una). Conclusiones: Este estudio destaca la baja prevalencia de fragilidad entre los candidatos a donantes renales y su limitada relaci&#243;n con complicaciones quir&#250;rgicas. Sin embargo, los factores de riesgo cardiovascular siguen siendo clave en la evaluaci&#243;n. Se requieren investigaciones adicionales para mejorar la seguridad del proceso de donaci&#243;n. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Enfermer&#237;a Nefrol&#243;gica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – SubjectFull: KIDNEY transplantation
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      – SubjectFull: STATISTICAL correlation
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              Text: oct-dic2024
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              Y: 2024
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