Kidney transplantation (diseased donor)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: In principle, all postmortem kidney organ donors in the DSO region of Baden-Württemberg for whom novel biomarkers ??are determined will be included. Child organ donors can only be included if the volume of the additional blood collection does not pose a potential risk to the donation process. The corresponding assessment is the responsibility of the medical staff of the intensive care unit of the donor hospital in consultation with the DSO coordinator. In addition, all adult (>18 years) recipients of kidney organs from the included donors after transplantation will be included in the study.
Exclusion criteria
Exclusion criteria: Insufficient documentation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The outcome data for the donor are collected from routine clinical data using an anonymized data collection form by the German Organ Donation Foundation. 30-Day Graft Outcome: Defined as poor if the estimated glomerular filtration rate (eGFR) is = 30 mL/min/1.73 m², calculated using the CKD-EPI equation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Graft Function Classification: Immediate Graft Function (IGF): Defined as a serum creatinine (SCr) reduction ratio = 0.7. Slow Graft Function (SGF): Defined as a SCr reduction ratio < 0.7. (SCr reduction ratio = (Initial SCr - SCr on day 7) / Initial SCr) Delayed Graft Function (DGF): Definition: Requirement of kidney replacement therapy (KRT) within 7 days after transplantation, based on the treating physician’s judgment. Severity Classification: (1) No DGF: No need for KRT (i.e., IGF or SGF) (2) Mild DGF: KRT required only within the first 24 hours post-transplant (3) Moderate DGF: KRT required up to day 7 post-transplant (4) Severe DGF: KRT required beyond day 7 post-transplant | — |
Countries
Germany
Contacts
Uniklinikum Heidelberg