Recipient characteristics and outcome of pediatric kidney transplantation at the king Fahad specialist hospital-Dammam

Abstract EN

The success of a pediatric kidney transplantation program can only be judged by reviewing its results.

We aim to audit our short-term outcome of pediatric kidney transplantation at the King Fahad Specialist Hospital-Dammam.

A retrospective chart review was performed to collect data about recipient demographics, etiology of end-stage kidney disease, type of dialysis, type of donor and outcome.

Between September 2008 and April 2012, 35 pediatric kidney transplantations (< 16 year) were performed of a total of 246 kidney transplants (14.2 %).

The mean age was 8.1 years, with a mean weight of 23.3 kg, and there were 21 (60 %) boys in the study.

Kidney dysplasia / hypoplasia was the most common etiology (51.4 %).

Pre-emptive kidney transplantation was performed in six (17 %) patients.

Peritoneal dialysis was the most common mode of dialysis [24 (69 %) children].

Living donation was the source of kidney allografts in 13 (37 %) cases.

During a mean follow-up of 1.5 years, one patient died and one graft was lost due to kidney vein thrombosis.

The one year patient and graft survival rates were 97 % and 94 %, respectively.

Efforts should now be focused on achieving optimal long-term results.

There is also a need to encourage pre-emptive transplantation and living donation in this population.