Pediatric kidney transplantation: is it safe to perform during night-time or day-off?
Topic overview
This retrospective study examines whether performing pediatric kidney transplants during night-time or days-off affects surgical outcomes. While overall complication rates and graft function were similar across timing groups, day-off surgeries showed longer operative times and higher rates of post-operative bleeding, suggesting increased caution may be warranted for weekend procedures.
Key takeaways
- 43% of pediatric kidney transplants occurred at night and 29% on days-off, showing after-hours surgery is common in this population.
- Night-time transplants showed similar outcomes to daytime procedures with no difference in complications, graft function, or 3-month eGFR.
- Day-off surgeries had longer operative times and significantly higher rates of post-operative bleeding compared to regular hours.
- Delayed graft function and primary graft non-function rates were comparable across all time periods studied.
- Extra vigilance is warranted for day-off pediatric kidney transplants to prevent severe hemorrhagic complications.
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How to cite: GlobalCastMD. Pediatric kidney transplantation: is it safe to perform during night-time or day-off?. GlobalCastMD Medical Library. 2024-03-19. https://dev.library.globalcastmd.com/article/8401?via_space=staycurrentmd
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