A study of over 750 kidney transplant patients over a five-year period conducted by researchers at the Perelman School of Medicine at the University of Pennsylvania has found that 90% of early rehospitalisations (within 30 days of surgery) were caused by complex medical factors related to the transplantation process. Only nine percent of rehospitalisations – which occurred among only three percent of the entire group of patients – were categorised as potentially preventable.
The study, published online this week in the American Journal of Transplantation, found that 237 patients (nearly one-third) were rehospitalised early following surgery, with a median of nine days to rehospitalisation after discharge from kidney transplant. In most of these cases, the readmissions were unplanned and occurred as a result of common postsurgical complications. Deep vein thrombosis (blood clots), post-operative pain, organ rejection, fluid imbalances including volume overload (too much fluid in the blood) or volume depletion (decrease in volume of blood plasma, potentially leading to shock), and wound infections were key complicating factors leading to early rehospitalisation.
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