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Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant

Lymphatic complications after kidney transplantation (KTx) are associated with morbidities such as impaired wound healing, thrombosis, and organ failure. Recently, a consensus regarding the definition and severity grading of lymphoceles has been suggested. The aim of the present study was to validat...

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Autores principales: Sabagh, Mohammadsadegh, Mohammadi, Sara, Ramouz, Ali, Khajeh, Elias, Ghamarnejad, Omid, Morath, Christian, Mieth, Markus, Kulu, Yakup, Zeier, Martin, Mehrabi, Arianeb, Golriz, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584504/
https://www.ncbi.nlm.nih.gov/pubmed/34768377
http://dx.doi.org/10.3390/jcm10214858
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author Sabagh, Mohammadsadegh
Mohammadi, Sara
Ramouz, Ali
Khajeh, Elias
Ghamarnejad, Omid
Morath, Christian
Mieth, Markus
Kulu, Yakup
Zeier, Martin
Mehrabi, Arianeb
Golriz, Mohammad
author_facet Sabagh, Mohammadsadegh
Mohammadi, Sara
Ramouz, Ali
Khajeh, Elias
Ghamarnejad, Omid
Morath, Christian
Mieth, Markus
Kulu, Yakup
Zeier, Martin
Mehrabi, Arianeb
Golriz, Mohammad
author_sort Sabagh, Mohammadsadegh
collection PubMed
description Lymphatic complications after kidney transplantation (KTx) are associated with morbidities such as impaired wound healing, thrombosis, and organ failure. Recently, a consensus regarding the definition and severity grading of lymphoceles has been suggested. The aim of the present study was to validate this classification method. All adult patients who underwent KTx between December 2011 and September 2016 in our department were evaluated regarding lymphoceles that were diagnosed within 6 months after KTx based on the recent definition. Patients with lymphoceles were categorized according to the classification criteria, and clinical outcomes were compared between the groups. In our department, a total of 587 patients underwent KTx between 2011 and 2016. Lymphoceles were detected after KTx in 90 patients (15.3%). Among these patients, 24 (26.6%) had grade A lymphoceles, 14 (15.6%) had grade B, and 52 (57.8%) had grade C. The median duration times of intermediate care (IMC) and hospital stay were significantly higher among patients with grade C lymphoceles than they were among patients with grade A and B lymphoceles. Significantly more patients with grade C lymphoceles were readmitted to the hospital for treatment. The recently published definition and severity grading of lymphoceles after KTx is an easy-to-use and valid classification system, which may facilitate the comparison of results from different studies on lymphoceles after KTx.
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spelling pubmed-85845042021-11-12 Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant Sabagh, Mohammadsadegh Mohammadi, Sara Ramouz, Ali Khajeh, Elias Ghamarnejad, Omid Morath, Christian Mieth, Markus Kulu, Yakup Zeier, Martin Mehrabi, Arianeb Golriz, Mohammad J Clin Med Article Lymphatic complications after kidney transplantation (KTx) are associated with morbidities such as impaired wound healing, thrombosis, and organ failure. Recently, a consensus regarding the definition and severity grading of lymphoceles has been suggested. The aim of the present study was to validate this classification method. All adult patients who underwent KTx between December 2011 and September 2016 in our department were evaluated regarding lymphoceles that were diagnosed within 6 months after KTx based on the recent definition. Patients with lymphoceles were categorized according to the classification criteria, and clinical outcomes were compared between the groups. In our department, a total of 587 patients underwent KTx between 2011 and 2016. Lymphoceles were detected after KTx in 90 patients (15.3%). Among these patients, 24 (26.6%) had grade A lymphoceles, 14 (15.6%) had grade B, and 52 (57.8%) had grade C. The median duration times of intermediate care (IMC) and hospital stay were significantly higher among patients with grade C lymphoceles than they were among patients with grade A and B lymphoceles. Significantly more patients with grade C lymphoceles were readmitted to the hospital for treatment. The recently published definition and severity grading of lymphoceles after KTx is an easy-to-use and valid classification system, which may facilitate the comparison of results from different studies on lymphoceles after KTx. MDPI 2021-10-22 /pmc/articles/PMC8584504/ /pubmed/34768377 http://dx.doi.org/10.3390/jcm10214858 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sabagh, Mohammadsadegh
Mohammadi, Sara
Ramouz, Ali
Khajeh, Elias
Ghamarnejad, Omid
Morath, Christian
Mieth, Markus
Kulu, Yakup
Zeier, Martin
Mehrabi, Arianeb
Golriz, Mohammad
Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title_full Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title_fullStr Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title_full_unstemmed Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title_short Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title_sort validating consensus-defined severity grading of lymphatic complications after kidney transplant
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584504/
https://www.ncbi.nlm.nih.gov/pubmed/34768377
http://dx.doi.org/10.3390/jcm10214858
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