A new study reported in Renal & Urology News on December 28th, 2013 found that End Stage Renal Disease (ESRD) patients are at increased mortality risk after surgery. Published in Critical Care journal, out of 12,938 patients 1.5% (199) had ESRD and 31.2% of them died in the hospital as compared with only 10% of those without CKD. More specifically, ESRD was independently associated with a nearly fourfold increased risk of in-hospital death.
The difference in hospital death rates between those with CKD as compared with those without is astounding. While common comorbidities (the presence of one or more additional disorders) such as diabetes and liver disease (cirrhosis) contributed to death rates in ESRD patients, those with ESRD also suffered "significantly higher rates of organ failure at intensive care unit (ICU) admission and during the ICU stay."
For instance, cardiovascular and hematologic (diseases affecting the blood) failure occurred in 72.4% and 21.6% of the ESRD patients as compared with only 49.2% and 4.5% of people without ESRD. Hepatic failure occurred in 12.1% of the ESRD patients compared with 3.0% of the patients without ESRD. People with ESRD also had "significantly more days" in the ICU than the typical non-ESRD patient.
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To reduce their risk, KidneyBuzz.com warns that a good way for you to avoid infections before surgery and after your surgery, especially a Kidney Transplant, is to wash your hands thoroughly all the time (before you eat, before taking medications, after yard work or any time in the bathroom), stay away from anyone with the cold or flu, and take good care of your teeth by brushing them at least twice a day and replacing your toothbrush every 3-6 months. Also, for 6 weeks after your surgery you should stay away from all crowded places including church, sports events and shopping malls.
On a personal note: On behalf of KidneyBuzz.com, I want to take this opportunity to extend warm holiday greetings to each of you, your families and loved ones. We thank you for your resolute support throughout 2013. I just hope that you had as much fun and learned as much reading KidneyBuzz.com's Daily CKD News, as we here at KidneyBuzzz.com did producing it. We look forward to your continued support in 2014. KidneyBuzz.com saw many significant successes this year. We will continue to work hard behind the scenes to bring you targeted information and products to improve your lives. Remember to visit every day for breaking news and information regarding CKD and Kidney Transplantation as well as Follow us on Twitter @kidneybuzz.com and Like our Facebook Fan Page.
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Charnow, Jody A. "ESRD Increases Post-Op In-Hospital Mortality." Renalandurologynews.com. Renal and Urology News.
"What Are the Risks of Kidney Transplant Surgery?" Http://www.cpmc.org/. California Pacific Medical Center.
"Post Kidney Transplant." Http://lomalindahealth.org/. Loma Linda University Medical Center.
"Blood Pressure Management in the Kidney Transplant Recipient."
Http://www.ncbi.nlm.nih.gov/. Division of Nephrology, University of Maryland School of Medicine.