Outcomes of delayed graft function in deceased donor kidney transplantation: a single center experience

Abstract

Objective: Delayed graft function (DGF) is related to enhanced acute rejection attacks in the short-term and reduced graftsurvival and reduced overall survival in the long-term. In this study, we desired to ascertain the outcomes of DGF.Material and Method: This study is a retrospective cohort study. Two hundred seventy-four patients who underwent a kidneytransplant from a deceased donor were included. DGF was described as obtaining dialysis treatment within the first week oftransplant. The kidney recipients were divided into groups DGF+ (Group 1) and DGF- (Group 2). Two groups were comparedin terms of risk factors which were based on donor and recipient characteristics. Short-term outcomes, long-term graft survivaland recipient survival results were compared.Results: The incidence of DGF was 50.3%. The rate of donors with expanded criteria donor (ECD) was 37.3%. Mean glomerularfiltration rate (GFR) at one year after kidney transplantation was 57.5 ml/dk/1.73m2 for Group 1, and 73 ml/dk/1.73m2 forGroup 2 (p