肾移植患者非计划性再入院现状及影响因素调查分析

Prevalence of and factors associated with unplanned readmission after renal transplantation

目的了解肾移植患者非计划性再入院现状及其影响因素,为针对性干预提供参考。方法对肾移植术后1年内的424例患者进行17项相关影响因素的调查分析。结果85例于出院1年内非计划性再入院,占20.0%;Logistic回归分析显示并发症个数、估算肾小球滤过率(eGFR)及住院期间其他手术是肾移植患者非计划性再入院的危险因素(OR=2.098~2.968;P<0.05,P<0.01)。结论肾移植患者术后1年内非计划性再入院不容忽视;护理人员应对出院患者进行持续随访和动态评估,及时发现风险因素进行有效干预,同时要特别加强同期行其他手术、并发症较多及eGFR低患者的管理,以降低再入院风险。

Objective To measure the prevalence of and factors associated with unplanned readmission after renal transplantation (RT). Methods A total of 424 patients were investigated within the first year post-RT in terms of the unplanned readmission and 17 related factors. Results The rate of unplanned readmission was 20.0%. Logistic regression analysis showed that the number of complications, estimated glomerular filtration rate (eGFR) and other operations during hospitalization were risk factors of unplanned readmission ( OR =2.098-2.968, P <0.05, P <0.01). Conclusion The unplanned readmission within one year after RT cannot be ignored. Nursing staff should provide continuous follow-up and dynamic assessment, find out risk factors and conduct effective interventions, as well as focus on those who undergo other operations during hospitalization, who have more complications and lower eGFR, thus to reduce unplanned readmissions.