ESPN 51th Annual Meeting

ESPN 2018


 
Improved Outcome of Pediatric Kidney Transplant in Young Program; Blessing Of Health Care Globalization
BAKER AYYASH 2 EIHAB AL KHASAWNEH 1

1- SHEIKH KHALIFA MEDICAL CITY
2- MAFRAQ HOSPITAL
 
Introduction:

 Kidney transplant is the best treatment of ESRD. Pediatric Kidney transplants are performed around the globe with variable outcomes. In this study we will review the outcome of our young program and compare it with the outcome of other programs worldwide.

Material and methods:

 Retrospective chart review of pediatric kidney transplant done in UAE in the period from 2009 till 2018. Patient and graft survival at 1 and 5 years will be reported. 

Results:

Total of 30 pediatric kidney transplants were performed. The majority 28 case (93.3%) were from living related donor with 2 cases (6.6%) form deceased donors. Forty three percent of recipients were females. The average age was 9.5 years for recipients and 36.6 years for donors. The relationship of donors to recipients was mother in 49%, father in 36% and others in 15%. Etiology of ESRD was glomerular disease in 43%, Non-glomerular in 53% and other in 4%. Patient survival at 1 and 5 years was 100% and 96.6% respectively. Graft survival at 1 and 5 years was 96.6% and 96.6% respectively. One graft was lost immediately post operation due to interruption of vascular supply. One patient passed away 18 months post-transplant due to infection. 

Conclusions:

 The outcome of our young and  small program is comparable to older and larger programs worldwide. The Globalization of healthcare and advancement of communication technology facilitate the spread of best kidney transplant practices all over the globe. This resulted in improvement of the outcome in young transplant programs.