%0 Journal Article
%T Successful transplantation of kidneys from deceased donors with terminal acute kidney injury
%A Agata Ostaszewska
%A Andrzej Chmura
%A Artur Kwiatkowski
%A Jakub Drozdowski
%A Janusz Trzebicki
%A Jolanta Gozdowska
%A Leszek Paczek
%A Lukasz Gorski
%A Magdalena Durlik
%A Michal Ciszek
%A Michal Wszola
%A Piotr Diuwe
%A Piotr Domagala
%A Piotr Goralski
%A Rafal Kieszek
%J Renal Failure
%D 2019
%R https://doi.org/10.1080/0886022X.2019.1590209
%X Abstract Background: There are many doubts with regards to accepting deceased kidneys with acute kidney injury (AKI) for transplantation. Purpose: The aim of this study was to present the 5-years outcome of kidney transplantation cases where deceased donors developed AKI before organ procurement. Methods: Two hundred twenty-six deceased renal transplants were analyzed. Data regarding donors and recipients were collected. Terminal AKI was defined as terminal serum creatinine concentration higher than 1.99£¿mg/dL and 66 such cases were diagnosed. All kidney transplant recipients were followed for 60£¿months. Results: AKI group presented more episodes of delayed graft function (DGF) compared to the non-AKI group (56% vs 35%, p£¿<£¿.05). No differences were observed between the groups in the rate of acute rejection episodes, kidney function as well as patient and graft survival. Conclusions: Transplants with AKI present more often DGF and comparable graft survival to transplants without AKI. Kidneys with AKI can be a valuable source of organs provided attentive selection and appropriate care of deceased donors
%U https://www.tandfonline.com/doi/full/10.1080/0886022X.2019.1590209