单位:[1]Xi An Jiao Tong Univ, Affiliated Hosp 1, Xian, Peoples R China[2]Xi An Jiao Tong Univ, Inst Organ Transplantat, Xian, Peoples R China[3]Sun Yat Sen Univ, Affiliated Hosp 1, Guangzhou, Peoples R China中山大学附属第一医院[4]Zhejiang Univ, Sch Med, Affiliated Hosp 1, Hangzhou, Peoples R China浙江大学医学院附属第一医院[5]Chinese Peoples Liberat Army 923 Hosp, Nanjing, Peoples R China[6]Second Peoples Hosp Shanxi Prov, Taiyuan, Peoples R China[7]Cent South Univ, Xiangya Hosp 2, Changsha, Peoples R China[8]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Wuhan, Peoples R China华中科技大学同济医学院附属同济医院[9]Peoples Hosp Zhengzhou City, Zhengzhou, Peoples R China[10]Capital Univ Med Sci, Beijing Chaoyang Hosp, Beijing, Peoples R China北京朝阳医院[11]Jilin Univ, Bethune Hosp 1, Changchun, Peoples R China[12]Qingdao Univ, Affiliated Hosp, Qingdao, Peoples R China[13]Guangzhou Med Univ, Affiliated Hosp 2, Guangzhou, Peoples R China[14]Zhengzhou Univ, Affiliated Hosp 1, Zhengzhou, Peoples R China[15]Sichuan Univ, West China Hosp, Chengdu, Peoples R China四川大学华西医院[16]First Shandong Med Univ, Affiliated Hosp 1, Jinan, Peoples R China[17]Southern Med Univ, Nanfang Hosp, Guangzhou, Peoples R China[18]Sun Yet Univ, Hosp Affiliated 3, Guangzhou, Peoples R China[19]Kunming City First Peoples Hosp, Kunming, Yunnan, Peoples R China[20]Peoples Hosp Wuhan Univ, Wuhan, Peoples R China[21]Naval Mil Med Univ, Changhai Hosp, Shanghai, Peoples R China[22]Southern Med Univ, Zhujiang Hosp, Guangzhou, Peoples R China南方医科大学珠江医院[23]900 Hosp Joint Logist Support Dept PLA, Fuzhou, Peoples R China[24]Wuhan Univ, Zhongnan Hosp, Wuhan, Peoples R China[25]Peoples Liberat Army Gen Hosp, Med Ctr 8, Beijing, Peoples R China[26]Cent South Univ, Xiangya Hosp 3, Changsha, Peoples R China[27]Fudan Univ, Zhongshan Hosp, Shanghai, Peoples R China[28]924 Hosp Joint Logist Support Dept PLA, Guilin, Peoples R China[29]Army Mil Med Univ, Affiliated Hosp 2, Chongqing, Peoples R China[30]Tianjin First Cent Hosp, Tianjin, Peoples R China
Background Kidneys obtained from deceased donors increase the incidence of delayed graft function (DGF) after renal transplantation. Here we investigated the influence of the risk factors of donors with DGF, and developed a donor risk scoring system for DGF prediction. Methods This retrospective study was conducted in 1807 deceased kidney donors and 3599 recipients who received donor kidneys via transplants in 29 centers in China. We quantified DGF associations with donor clinical characteristics. A donor risk scoring system was developed and validated using an independent sample set. Results The incidence of DGF from donors was 19.0%. Six of the donor characteristics analyzed, i.e., age, cause of death, history of hypertension, terminal serum creatinine, persistence of hypotension, and cardiopulmonary resuscitation (CPR) time were risk factors for DGF. A 49-point scoring system of donor risk was established for DGF prediction and exhibited a superior degree of discrimination. External validation of DGF prediction revealed area under the receiver-operating characteristic (AUC) curves of 0.7552. Conclusions Our study determined the deceased donor risk factors related to DGF after renal transplantation pertinent to the Chinese cohort. The scoring system developed here had superior diagnostic significance and consistency and can be used by clinicians to make evidence-based decisions on the quality of kidneys from deceased donors and guide renal transplantation therapy.
基金:
Major Clinical Research Projects of the First Affiliated Hospital of Xi'an Jiaotong University [XJTU1AF-CRF-2015-005, XJTU1AF-CRF-2018-026]
第一作者单位:[1]Xi An Jiao Tong Univ, Affiliated Hosp 1, Xian, Peoples R China[2]Xi An Jiao Tong Univ, Inst Organ Transplantat, Xian, Peoples R China[*1]Xi An Jiao Tong Univ, Dept Renal Transplantat, Affiliated Hosp 1, Xian 710061, Peoples R China
通讯作者:
通讯机构:[1]Xi An Jiao Tong Univ, Affiliated Hosp 1, Xian, Peoples R China[2]Xi An Jiao Tong Univ, Inst Organ Transplantat, Xian, Peoples R China[*1]Xi An Jiao Tong Univ, Dept Renal Transplantat, Affiliated Hosp 1, Xian 710061, Peoples R China
推荐引用方式(GB/T 7714):
Xue Wujun,Wang Changxi,Chen Jianghua,et al.A prediction model of delayed graft function in deceased donor for renal transplant: a multi-center study from China[J].RENAL FAILURE.2021,43(1):520-529.doi:10.1080/0886022X.2021.1895838.
APA:
Xue, Wujun,Wang, Changxi,Chen, Jianghua,Sun, Xuyong,Wu, Xiaotong...&Fu, Yingxin.(2021).A prediction model of delayed graft function in deceased donor for renal transplant: a multi-center study from China.RENAL FAILURE,43,(1)
MLA:
Xue, Wujun,et al."A prediction model of delayed graft function in deceased donor for renal transplant: a multi-center study from China".RENAL FAILURE 43..1(2021):520-529