Browsing by Subject "Kidney Diseases"

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  • Helanterä, Ilkka; Ibrahim, Hassan N.; Lempinen, Marko; Finne, Patrik (2020)
    Background and objectives Increased donor age is one of the most important risk factors for delayed graft function (DGF), and previous studies suggest that the harmful effect of cold ischemia time is increased in kidneys from older donors. Our aim was to study the association of increased donor age and cold ischemia time with the risk of delayed graft function in a large cohort kidney transplants from the current era. Design, setting, participants, & measurements The Scientific Registry of Transplant Recipients was used for this observational, retrospective registry analysis to identify all deceased donor kidney transplantations in the United States between 2010 and September 2018, who were on dialysis pretransplantation (n=90,810). The association of donor age and cold ischemia time with the risk of DGF was analyzed in multivariable models adjusted for recipient characteristics (age, race, sex, diabetes, calculated panel-reactive antibodies, pretransplant dialysis duration) and donor characteristics (cause of death, sex, race, body mass index, creatinine, donation after circulatory death status, history of hypertension, and HLA mismatch). Results Cold ischemia time and donor age were independently associated with the risk of DGF, but the risk of DGF was not statistically significantly lower in donor age categories between 50 and 64 years, compared with donors ?65 years. The harmful association of cold ischemia time was not higher in kidneys from older donors in any age category, not even among donation after circulatory death donors. When donor risk was assessed with kidney donor profile index, although a statistically significant interaction with cold ischemia time was found, no practically meaningful increase in cold-ischemia susceptibility of kidneys with a high kidney donor profile index was found. Conclusions We were unable to demonstrate an association between donor age and DGF. The association of longer cold ischemia time with the risk of DGF was not magnified in older or more marginal donors.
  • Jahnukainen, Timo (2019)
    Lasten munuaissairaudet voivat olla synnynnäisiä kehityshäiriöitä, munuaiskerässairauksia tai tubulaarisia sairauksia. Ne ovat merkittävä erotusdiagnostinen vaihtoehto selvitettäessä lapsen kasvuhäiriön, huonon menestymisen tai korkean verenpaineen syytä. Lasten vaikeiden munuaiskorvaushoitoon johtavien sairauksien ilmaantuvuus on pysynyt vakaana, mutta munuaisten vajaatoiminnan syyt ovat osittain muuttuneet. Vaikeaakin munuaissairautta sairastavien lasten eloonjäämisennuste on hyvä ja heitä siirtyy yhä enemmän aikuisten terveydenhuollon seurantaan.
  • Ebeling, Freja (2016)
  • Ruokonen, Hellevi; Meurman, Jukka H. (2017)
  • Mustonen, Jukka; Vaheri, Antti (2018)
    Hantavirusten aiheuttamat ¬infektiot eroavat toisistaan taudinkuvaltaan ja vaikeudeltaan.