Hollisaaz M-T, Aghanassir M, Lorgard-Dezfuli-Nezad M, Assari S, Hafezie R, Ebrahiminia M
Nephrology/Urology Research Center (NURC), Baqiyatallah Medical Sciences University, Tehran, Iran.
Transplant Proc. 2007 May;39(4):1048-50. doi: 10.1016/j.transproceed.2007.03.061.
Despite the amount of evidence regarding the negative impact of medical comorbidities after transplantation, little attention has been directly paid to the pattern of somatic comorbidities in renal transplant recipients. The aim of this study was to assess the prevalence of medical comorbidities after kidney transplantation.
In a cross-sectional study during 2006, we evaluated 119 kidney transplant recipients for somatic comorbidities by using the Ifudu comorbidity index, which evaluated the presence of 14 chronic illnesses among patients undergoing maintenance hemodialysis. Correlations of the Ifudu score with demographic and clinical data were also studied.
Eighty-three (90.4%) subjects had at least one medical comorbidity. The mean comorbidity score was 5.17 +/- 4.50. The most frequent comorbidities were nonischemic heart diseases including hypertension (n=75; 63%), visual disturbances (n=42; 35.2%), low back pain and spine and joint disorders (n=30; 25.21%), and musculoskeletal disorders (n=28; 23.5%). A higher comorbidity score was significantly correlated with lower economic status (P<.05), but not with age, gender, marital status, educational level, cause, or duration of end-stage renal disease.
The prevalence of medical comorbidities among kidney transplant recipients seems to be high, with the highest prevalence due to nonischemic heart diseases, visual disturbances, and musculoskeletal disorders. This highlighted the necessity of providing posttransplant care by a multidisciplinary team of specialists.
尽管有大量证据表明移植后医学合并症具有负面影响，但肾移植受者躯体合并症的模式却很少受到直接关注。本研究的目的是评估肾移植后医学合并症的患病率。
在2006年的一项横断面研究中，我们使用伊福杜合并症指数对119名肾移植受者的躯体合并症进行了评估，该指数评估了维持性血液透析患者中14种慢性病的存在情况。还研究了伊福杜评分与人口统计学和临床数据之间的相关性。
83名（90.4%）受试者至少有一种医学合并症。合并症平均评分为5.17±4.50。最常见的合并症是非缺血性心脏病，包括高血压（n = 75；63%）、视力障碍（n = 42；35.2%）、腰痛以及脊柱和关节疾病（n = 30；25.21%）和肌肉骨骼疾病（n = 28；23.5%）。较高的合并症评分与较低的经济状况显著相关（P <.05），但与年龄、性别、婚姻状况、教育水平、终末期肾病的病因或病程无关。
肾移植受者中医学合并症的患病率似乎很高，其中非缺血性心脏病、视力障碍和肌肉骨骼疾病的患病率最高。这突出了由多学科专家团队提供移植后护理的必要性。
