ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

Enhanced Recovery after Surgery Reduces Length of Hospital Stay in Renal Transplant Recipients

S. O'Neill, T. Brown, J. McCaughan, A. Courtney

Department of Transplantation, Belfast City Hospital, Belfast, United Kingdom

Meeting: 2020 American Transplant Congress

Abstract number: LB-034

Keywords: Kidney transplantation

Session Information

Session Name: Poster Session C: Late Breaking

Session Type: Poster Session

Date: Saturday, May 30, 2020

Session Time: 3:15pm-4:00pm

 Presentation Time: 3:30pm-4:00pm

Location: Virtual

*Purpose: Enhanced recovery after surgery (ERAS) is an established multimodal approach to perioperative care. However, ERAS in renal transplantation isn’t common practice. ERAS involving early mobilisation, fluid restriction, opiate minimisation, local anaesthetic wound infiltration and early urinary catheter removal is now implemented in our Unit. The study aim was to assess whether ERAS decreased length of stay (LoS) in renal transplant recipients.

*Methods: Outcomes were compared between all consecutive renal transplant recipients in 2010 and consecutive renal transplant recipients in 2018, before and after implementation of ERAS. Data were extracted from a prospectively recorded database. The primary outcome was median LoS in hospital.

*Results: There were 73 renal transplants in 2010 and 115 in 2018. Compared to 2010, in 2018 there was a significant increase in donor age (47 vs.54, p<0.0001) and donation after circulatory death (0 vs. 29%, p<0.0001). Although there was no change in the proportion of living donors (59 vs.50%, p=0.32), in 2018 there were more blood group incompatible living donors (0 vs.7%, p=0.21). Compared to 2010, in 2018 there was a significant increase in recipient age (43 vs.54, p=0.0002), diabetic nephropathy (5 vs.16%, p=0.03) and BMI>35kg/m2 (0 vs.9%, p=0.02). Between 2010 and 2018 there was a significant decrease in cold ischemia for deceased donor transplants (1260 vs.669 minutes, p<0.0001), and a significant increase in time to graft function across all donor types (10% creatinine drop, 2.6 vs.5.1 days, p=0.009). Between 2010 and 2018 there was a significant decrease in LoS from 12 to 7 days (p<0.0001). Decreased LoS was observed in the context of a significant increase in discharge creatinine (110 vs.170mmol/L, p<0.0001).

*Conclusions: Implementation of ERAS significantly decreased LoS in renal transplant recipients despite increasingly complex donor and recipient profiles. Poorer graft function at the time of earlier discharge from hospital was not a barrier to reducing LoS.

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

O'Neill S, Brown T, McCaughan J, Courtney A. Enhanced Recovery after Surgery Reduces Length of Hospital Stay in Renal Transplant Recipients [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/enhanced-recovery-after-surgery-reduces-length-of-hospital-stay-in-renal-transplant-recipients/. Accessed May 11, 2025.

« Back to 2020 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences