Complicações após o transplante renal e a repercussão no tempo de internação

OBJECTIVE: To evaluate post-kidney transplant complications and their repercussions on the duration of hospital stay. METHODOLOGY: This is a descriptive, documentary, retrospective and quantitative study, carried out in a public reference hospital. The sample consisted of 255 medical records of patients over 18 years of age who had undergone kidney transplantation for more than six months. Cases of double transplantation were excluded. RESULTS: Most patients were between 40 and 59 years old (42%), male (58.4%) and had a normal BMI (41.2%). Surgical complications, infections, and changes in graft function were significantly associated. The median hospital stay was 33 days for patients with surgical complications, compared to 10 days for the others (p<0.001). In cases of nonspecific infection, the median time was 25 days (p<0.001). The most prevalent infection was urinary tract, with a median length of hospital stay of 31 days. Patients with immediate graft function had a median hospital stay of 7 days; slow function, 10 days; late function, 20 days; and graft loss, 35 days. CONCLUSIONS: After the evaluation of complications after kidney transplantation, a significant association was observed with the length of hospital stay, the presence of UTI had a negative impact on the prognosis and the evolution of postoperative recovery.