ปัจจัยที่มีความสัมพันธ์กับการทำงานของไตในผู้รับการปลูกถ่ายไตจากผู้บริจาคสมองตาย

Tri  Hanprasertpong; Surachai Maninet; Manaphan  Utthong; Sakuntala  Rodmai

Authors

Tri Hanprasertpong Urology Division, Department of surgery, Sunpasitthiprasong Hospital
Surachai Maninet Faculty of nursing, Ubonratchathani University https://orcid.org/0000-0002-3892-3180
Manaphan Utthong Organ Transplant Clinic, Sunpasitthiprasong Hospital
Sakuntala Rodmai Prince Hospital

Keywords:

deceased-donor renal transplantation, serum creatinine levels, glomerular filtration rate, cold ischemia time

Abstract

This retrospective study aimed to examine the relationships between age, body mass index, duration of illness, operative time, number of arterial anastomoses, cold ischemia time, warm ischemia time, time to normalized urination post-surgery, postoperative body weight, glomerular filtration rate, and serum creatinine levels in recipients of deceased-donor kidney transplants. Data were collected from the medical records of 106 recipients who underwent kidney transplantation from deceased donors at Sunpasitthiprasong Hospital, Ubon Ratchathani, between January 2017 and May 2025. A structured data collection form was used, and the data were analyzed using descriptive statistics, and Pearson’s correlation coefficient.

The results revealed that the serum creatinine levels of these recipients were significantly correlated with the following factors: cold ischemia time (r = –.216, p = .027), time to normalized urination after surgery (r = .382, p = .000), postoperative body weight (r = –.302, p = .002), and glomerular filtration rate (r = –.680, p = .000). However, age, body mass index, duration of illness, operative time, number of arterial anastomoses, and warm ischemia time showed no significant association with serum creatinine levels in these patients.

Therefore, healthcare professionals involved in the care of recipients of deceased-donor kidney transplants should place emphasis on both the intraoperative and postoperative phases. During surgery, appropriate management of cold ischemia time should be appropriately controlled. In the postoperative period, it is essential to monitor and maintain urine output within normal ranges, control postoperative body weight appropriately, and regularly assess glomerular filtration rate in order to support a good quality of life for transplant recipients.

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