Department of Nephrology, Shahid Dharmabhakta National Transplant Center, Dudhpati, Bhaktapur, Nepal.
Department of Transplant Surgery, Shahid Dharmabhakta National Transplant Center, Dudhpati, Bhaktapur, Nepal.
JNMA J Nepal Med Assoc. 2023 Jun 1;61(262):519-521. doi: 10.31729/jnma.8190.
In renal transplantation, warm ischemia time is the interval from the removal of a procured kidney from ice storage to initiating graft reperfusion. Successful kidney transplantation depends on warm ischemia time. The study aims to find the mean warm ischemia time among kidney transplant patients in a tertiary care centre.
This descriptive cross-sectional study was conducted among kidney transplant patients in a tertiary care centre. Data from 15 December 2012 to 15 October 2022 were collected between 1 December 2022 to 4 January 2023 from the hospital records. Ethical approval was taken from the Nepal Health Research Council (Reference number: 1341). All first-time living-related kidney transplant recipients were included in the study. All the patients undergoing kidney transplants from brain-dead donors were excluded from the study. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.
Among 230 patients, the mean warm ischemia time was 35.45±7.35 min. The mean first warm ischemia time was 4.28±2.05 min and the mean second warm ischemia time was 31.27±7.04 min. The mean age of the recipients was 35.14±10.49 years (range 14-64), of which 173 (75.20%) were male and 57 (24.80%) were female.
The mean warm ischemia time among kidney transplant patients in a tertiary care centre was similar to the studies done in similar settings.
kidney transplantation; prevalence; warm ischemia.
在肾移植中，热缺血时间是从从冰存中取出供肾到开始移植物再灌注的间隔时间。成功的肾移植取决于热缺血时间。本研究旨在确定三级保健中心肾移植患者的平均热缺血时间。
这是一项在三级保健中心进行的肾移植患者描述性横断面研究。数据收集于 2022 年 12 月 1 日至 2023 年 1 月 4 日，来自 2012 年 12 月 15 日至 2022 年 10 月 15 日的医院记录。本研究已获得尼泊尔健康研究委员会的伦理批准（编号：1341）。所有首次接受活体亲属肾移植的患者均纳入本研究。所有接受脑死亡供者肾移植的患者均排除在本研究之外。采用便利抽样法。计算了点估计值和 95%置信区间。
在 230 名患者中，平均热缺血时间为 35.45±7.35 分钟。平均第一次热缺血时间为 4.28±2.05 分钟，第二次热缺血时间为 31.27±7.04 分钟。受者的平均年龄为 35.14±10.49 岁（范围 14-64 岁），其中 173 名（75.20%）为男性，57 名（24.80%）为女性。
三级保健中心肾移植患者的平均热缺血时间与类似环境下的研究相似。
肾移植；患病率；热缺血。
