EVALUATION OF ANEMIA IN RENAL TRANSPLANT PATIENTS


Malak Hussein Muhealdeen a, Safa Ezadin Almukhtar b, Kawa Hussein Ameen c, and Dana Ahmad Sharif c



a  Nephrology Board Trainee, Ministry of Health Director of Health, Kurdistan Region, Iraq.
b College of Medicine, Hawler Medical University, Hawler, Kurdistan Region, Iraq. 
c College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.



Submitted: 18/5/2021; Accepted: 28/8/2021; Published: 21/6/2022


ABSTRACT 


Background 

Post-renal transplant anaemia is a common complication among renal transplant patients. Graft dysfunction, medications, and IDA are the most common causes of PTA.


Objectives 

To investigate further the prevalence of anaemia after kidney transplantation in Sulaimani city, determine the risk factors and the association of different socio-demographic characteristics with PTA, and identify the essential causes of anaemia


Patients and Methods

A cross-sectional descriptive study was conducted on two hundred renal transplant patients who visited Shar-hospital in Sulaimani city for their regular follow up between January/ 2020-January/ 2021.


Results

Among the total 200 patients involved in the study, 63% were males, 37% were females, mean age was 45.32±9.28. It demonstrated that PTA was remarkably high (40%). Iron deficiency anaemia is the most common cause of PTA 28.75%, especially in 1st six months after renal transplantation; GFR decline for any reason (rejection, ATN, viral infection) is significantly associated with anaemia; the lower the GFR, the higher number of anaemic patients (p=0.000).


Conclusion

Our findings showed that anaemia is widespread after renal transplantation. Iron deficiency anaemia is the most common cause of anaemia, followed by acute cellular rejection.



KEYWORDS

Kidney transplant, Anemia, PTA, Haemoglobin, Immunosuppressive treatment.