يعرض 1 - 2 نتائج من 2 نتيجة بحث عن '"Pietro Santopietro"', وقت الاستعلام: 0.84s تنقيح النتائج
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    دورية أكاديمية

    المصدر: Journal of Global Antimicrobial Resistance, Vol 23, Iss , Pp 67-69 (2020)

    وصف الملف: electronic resource

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    المصدر: Artificial Organs. 46:1771-1782

    الوصف: Few studies explored the role of hypothermic machine perfusion (HMP) in the sub-group of non-standard renal grafts with a biopsy-proven advanced histological impairment. This study aimed to investigate the role of HMP in grafts with a Karpinski Score 3 in terms of the need for dialysis, creatinine reduction ratio at day-7 (CRR7), and 3-year graft survival.Twenty-three perfused grafts with Karpinski Score 3 evaluated between November 2017 and December 2018 were retrospectively analyzed and compared with a control group of 32 non-perfused grafts transplanted between January 2014 and October 2017.After transplantation, perfused grafts had fewer cases requiring dialysis (8.7% vs. 34.4%; p = 0.051), a better reduction in serum creatinine (median at 7 days: 2.2 vs. 4.3 mg/dl; p = 0.045), and shorter length of hospital stay (median 11 vs. 15 days; p = 0.01). Three-year death-censored graft survival was better in the perfused cases (91.3% vs. 77.0%; p = 0.16). In perfused grafts, initial renal resistance (RR) had the best predictive value for renal function recovery after the first week, as defined by CRR7 ≤ 70% (AUC = 0.83; p = 0.02). A cut-off value of 0.5 mm Hg/ml/min showed a sensitivity of 82.4%, a specificity of 83.3%, and diagnostic odds ratio = 23.4. After dividing the entire population into a Low-RR (n = 8) and a High-RR Group (n = 15), more cases with CRR7 ≤ 70% were reported in the latter group (86.7 vs. 13.3%; p = 0.03).HMP yielded promising results in kidneys with Karpinski Score 3. Initial RR should be of interest in selecting non-standard organs for single kidney transplantation even in impaired histology.