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Acta Médica Costarricense

versão On-line ISSN 0001-6002versão impressa ISSN 0001-6012


FERNANDEZ-ROJAS, Sara. Survival of kidney transplant at the National Children’s Hospital. Acta méd. costarric [online]. 2019, vol.61, n.2, pp.62-67. ISSN 0001-6002.


To know the survival of the renal transplant program at the National Children’s Hospital, from January 1978 to January 2016.


Retrospective and descriptive study in children who received a kidney transplant. The information was compiled from the clinical files. We included children who had a viable graft for at least three months, patients with a complete passive file and who provided informed consent.


A total of 152 patients were collected, and 143 were included in the study, since 9 were excluded. 51% (n = 73) were women. A total of 167 kidney transplants were performed, 63.5% (n = 105) were grafts from a related living donor. Survival at the first year was 100%, 95% at 10 years and 61% at 20 years after transplantation. Regarding the survival of the graft, a survival rate of 95% was found in the first year, 76% at 3 years and 73% at 5 years after transplantation, with an incidence of acute rejection of 28.7%.


Kidney transplantation in children is a very complex procedure where survival depends on multiple environmental factors and / or acquired, however it is possible that pediatric centers like ours can reach survival rates according to centers in developed countries.

Palavras-chave : kidney transplant; survivors; kidney failure.

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