Introduction: Although kidney transplantation is lifesaving compared to dialysis the relative risk for death is higher early after the surgery. Appropriate perioperative management could mitigate such risk. In this context, we investigated the utilization of SAR facility early after kidney transplantation.

Materials and Methods: All kidney transplant patients between January 2014 and July 2015 at our institution were included. Patients were grouped according to whether they were discharged to home or to a SAR facility. The decision of discharging a patient to a SAR facility was determined jointly by the multidiscipline team following the surgery. Pertinent demographic and baseline characteristics were obtained. Clinical outcomes included rehospitalization within 30 days, graft failure and death at the last follow-up. Univariate statistical analysis were utilized.

Results: Thirty-seven of 379 patients (9.8%) were discharged to a SAR facility and displayed a distinctively unfavorable demographic and baseline profile at the time of transplantation/discharge: they were older with higher EPTS scores, more likely to be black, and on dialysis for longer period, received less living donor kidney, had more underlying diabetes, higher sensitization levels, and delayed graft function, and stayed longer in the hospital. During the follow-up, patients discharged to a SAR facility were more likely get readmitted early and had high rate of death.

Conclusion: The requirement for SAR facility following kidney transplantation appears an indicator for poorer outcome. Additional multivariate analysis is needed to draw firm conclusion.

CITATION INFORMATION: Luan F, Ben-Israel M, Mulgaonkar S. Utilization of Subacute Rehabilitation Facility Early After Kidney Transplantation. Am J Transplant. 2016;16 (suppl 3).

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