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04 July 2022: Clinical Research

Post-Kidney Transplantation Results After Circulatory or Brain Death Without Pre-Mortem Heparin Administration

Jan Roman 12ABDEF , František Jalůvka 12ABE , Petr Ostruszka 1A , Petr Jelínek 12EF , Ján Hrubovčák 1B , Pavel Havránek 13BDF , Adéla Vrtková 45BCD , Zdeněk Lys 3BE , Jarmila Dědochová 3AB , Václav Procházka 26EG*

DOI: 10.12659/MSM.936877

Med Sci Monit 2022; 28:e936877

Table 2 Paraclinical parameters of kidney donors.

ParameterMedian (IQR) or n (%)iP-valueiv
DBDii (n=77)DCDiii (n=17)
Serum creatinine (μmol/l)88 (65–115)85 (68–99)0.713
eGFRv (ml/s/1,73 m)1.33 (0.93–1.72)1.13 (1.04–1.63)0.643
Norepinephrine (mg/kg/min)0.18 (0.09–0.51)0.11 (0.00–0.36)0.079
Hourly urine output (ml)200 (133–261)135 (103–210)0.139
Time from insult to transplantation (days)4 (2–6)
Time from WLST to meeting fWIT criteria (minutes)vi 4 (1–6)
Time from therapy withdrawal to cardiac arrest (minutes)11 (8–16)
No-touch interval duration (minutes)5 (5–5)
Time from beginning of WIT to OR arrival (minutes)ix 17 (15–20)
Time from beginning of WIT to the beginning of perfusion (minutes)21 (18–25)
i The median with the interquartile range or the absolute frequency and relative frequency in percentages;
ii DBD – Donors after Brain Death;
iii DCD – Donors after Circulatory Death;
iv The p-value of the Mann-Whitney test;
v eGFR – Estimated Glomerular Filtration Rate from the creatinine concentration;
vi WLST – withdrawal of life-sustaining therapy;
vii fWIT – functional warm ischemia time;
viii The criteria for reaching the start of WIT are described in the section;
ix OR – Operating Room.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750