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جستجوی مقالات
جمعه 21 آذر 1404
Evidence Based Care
، جلد ۱۱، شماره ۳، صفحات ۱۵-۲۴
عنوان فارسی
چکیده فارسی مقاله
کلیدواژههای فارسی مقاله
عنوان انگلیسی
Diagnostic Accuracy of Intra-Abdominal Pressure Measurement Method via Bladder in Predicting Renal Dysfunction after Kidney Transplantation
چکیده انگلیسی مقاله
Background: The patients undergoing kidney transplantation are exposed to Intra-Abdominal Pressure (IAP) elevation following a surgery.Aim: The present study aimed to evaluate the diagnostic accuracy of the IAP measurement method via bladder in the prediction of renal dysfunction after kidney transplantation.Method: This longitudinal study was conducted on 135 kidney transplant patients in two hospitals in Iran/Afghanistan from February 2019 to the end of October 2019. The patients' IAP was measured by nurses every 6 h up to 24 h after the surgery. The indices of renal dysfunction were utilized, including creatinine increase and urine reduction. Doppler ultrasound was used as a golden standard diagnostic test. Data were analyzed in STATA 14.Results: Out of 135 patients, an increase in IAP>10 mmHg was observed in 9.5% of cases. Urinary loss and creatinine decrease more than 25% of baseline indicated a significant correlation with IAP mean difference (P=0.001) (4-1). Therefore, IAP could predict renal dysfunction based on the reduction of urinary volume and a decrease in creatinine of more than 25% of baseline. Finally, a comparison between the diagnostic power of the IAP measurement method and Doppler ultrasound indicated 90% of sensitivity and 94% of negative predictive value in predicting renal dysfunction.Implications for Practice: As evidenced by the obtained results, the IAP measurement via bladder catheter might be a primary test to predict renal dysfunction before Doppler ultrasound; nonetheless, further research is required.
کلیدواژههای انگلیسی مقاله
Intra-abdominal pressure (IAP), Kidney Transplantation, Renal dysfunction
نویسندگان مقاله
| Mahtab Torkamani
MSc in Adult Critical Care Nursing, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| Nahid Aghebati
in nursing, Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| Hamid Heidarian Miri
PhD in epidemiology, Assistant Professor, Health Sciences Research Center, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| Mahmoud Tavakoli
Assistant Professor, Urologist, school of medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| Ahmad Farid Ejaz
Kidney transplant surgeon, Loghmane Hakim Hospital, Herat, Afghanistan, Member of American Society of Transplantation, Mount Laurel, New Jersey, USA
نشانی اینترنتی
https://ebcj.mums.ac.ir/article_18841.html
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