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A Novel Approach to Post-Transplant Care of Kidney and Pancreas Transplant Recipients; Inpatient Level Care in the Home

A. Grek

Advanced Care at Home, Mayo Clinic Florida, Jacksonville, FL

Meeting: 2022 American Transplant Congress

Abstract number: 1758

Keywords: Kidney/pancreas transplantation

Topic: Clinical Science » Kidney » 50 - Health Equity and Access

Session Information

Session Name: Health Equity and Access

Session Type: Poster Abstract

Date: Tuesday, June 7, 2022

Session Time: 7:00pm-8:00pm

 Presentation Time: 7:00pm-8:00pm

Location: Hynes Halls C & D

*Purpose: Demonstrate safe and cost effective care of early kidney and pancreas post-transplant complications through the Advanced Care at Home (ACH) inpatient home-based care program.

*Methods: 5 abdominal transplant patients were admitted into ACH over a 1-month period. Each recipient underwent transplant less than a year prior to admission. These recipients received ACH and transplant standard of care including 24-hour access to a physician-led virtual monitoring center, telehealth and home-based provider visits, skilled nursing care, rehabilitation, nutrition, pharmacy, laboratory, imaging, social work, and other individualized healthcare services in the comfort of the patients own home.

*Results: 5 Recipients, all within 1 year of transplant were admitted with diagnoses of CMV Viremia, Bacteremia, AKI, pancreas rejection, COVID 19 and volume overload. Two patients required escalation back to the brick-and-mortar hospital, one for a biopsy to rule out rejection, the second for new onset sepsis and progressive renal failure requiring hemodialysis. A total of 33 brick and mortar bed days were saved, freeing hospital capacity during a time of critical bed shortage. None of the patients were re-admitted within 30 days of discharge from ACH.

*Conclusions: Advanced care at home is a safe alternative to the traditional Brick an Mortar(B &M) hospitalization for patients admitted with complications post abdominal solid organ transplant. We improved bed capacity in the midst of the COVID 19 pandemic and minimized cost associated with a traditional B & M stay.

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To cite this abstract in AMA style:

Grek A. A Novel Approach to Post-Transplant Care of Kidney and Pancreas Transplant Recipients; Inpatient Level Care in the Home [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/a-novel-approach-to-post-transplant-care-of-kidney-and-pancreas-transplant-recipients-inpatient-level-care-in-the-home/. Accessed May 9, 2025.

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