دورية أكاديمية
Neurogenic Orthostatic Hypotension: a Common Complication of Successful Pancreas Transplantation
| العنوان: | Neurogenic Orthostatic Hypotension: a Common Complication of Successful Pancreas Transplantation |
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| المؤلفون: | Samantha A. Kuten, PharmD, Edward A. Graviss, PhD, Duc T. Nguyen, PhD, A. Osama Gaber, MD, Archana R. Sadhu, MD, Ericka P. Simpson, MD, Stephanie G. Yi, MD, Hemangshu Podder, MD, PhD, Anna Kagan, MD, PhD, Richard J. Knight, MD |
| المصدر: | Transplantation Direct, Vol 7, Iss 12, p e795 (2021) |
| بيانات النشر: | Wolters Kluwer, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | Surgery, RD1-811 |
| الوصف: | Background. Orthostatic hypotension (OH) is a poorly understood complication of simultaneous pancreas–kidney (SPK) transplantation. We sought to determine the incidence, timing, and relationship of OH to rapid glycemic control in the early posttransplant period. Methods. This was a nonrandomized retrospective single-center review of 75 SPK and 19 kidney-alone (KA) recipients with type 1 diabetes (DM). Results. OH occurred in 57 (76%) SPK versus 2 (10%) KA recipients (odds ratio [OR] 61.72, 95% confidence interval [CI], 9.69-393.01; P < 0.001). The median onset of OH was 12 (interquartile range [IQR] 9–18) days posttransplant and resolved in 85% of SPK recipients after a median of 2.5 (IQR 1.2–6.3) months. Among SPK recipients, independent risk factors for OH were a shorter duration of DM (OR 0.85, 95% CI, 0.73-0.98; P = 0.03) and rapid glycemic control in the early posttransplant period (OR 1.13, 95% CI, 1.01-1.27; P = 0.04), as evidenced by a larger percent change in hemoglobin A1c (HbA1c) from transplant to month 3. OH patients had a higher median baseline HbA1c [8.3% (IQR 7.2–10.0) versus 7.1% (IQR 6.8–8.3); P = 0.07], lower median 3-month HbA1c [4.8% (IQR 4.6–5.2) versus 5.2% (IQR 5.0–5.4); P = 0.02], and a larger reduction in HbA1c over time as compared to recipients without OH (P < 0.01). Conclusions. Our results show that OH is more likely to occur following SPK versus KA transplantation and is strongly associated with rapid glucose normalization within the early posttransplant period. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2373-8731 00000000 |
| العلاقة: | http://journals.lww.com/transplantationdirect/fulltext/10.1097/TXD.0000000000001208Test; https://doaj.org/toc/2373-8731Test |
| DOI: | 10.1097/TXD.0000000000001208 |
| الوصول الحر: | https://doaj.org/article/7d320edd7e564bdbb95fe7bc33a9bb7aTest |
| رقم الانضمام: | edsdoj.7d320edd7e564bdbb95fe7bc33a9bb7a |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23738731 00000000 |
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| DOI: | 10.1097/TXD.0000000000001208 |