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Session 9b: Concurrent 3.5
Concurrent Session
Concurrent Session
9:40 am
15 June 2024
P9
Themes
Transplant
Session Description
Session Chair: Elaine Abery
Session Program
501C - Research Paper
Abstract
Case Description:
We describe a case where despite frequent plasma exchange, anti-A antibody titres continued to rise after transplant and antibody mediated rejection developed. Using a glucosorb column we treated 7 plasma volumes during 9 hours . We repeated this a further 4 times over 10 days.
Discussion:
A 50 year old male with a history of Polycystic Kidnety disease recieved a Living related ABO incompatible transplant. Despite conventional treatment the antibody titre continued to rise. It was decided to perform large volume plasma exchange with specific antibody adsorbing columns. Large volme exchange is not without its complications. The patient expeienced alkalosis . hypocaleamia and fluid gain . Despite these initial complications the patient recoverd and remains off dialysis
Conclusion:
High volume plasma exchange with immunadsotption is effective in reducing antibody titres where conventional plasma exchange has failed.It is tokerated by the patient. It requires trained, skilled and motivated staff
Abstract
Case Description:
We describe a case where despite frequent plasma exchange, anti-A antibody titres continued to rise after transplant and antibody mediated rejection developed. Using a glucosorb column we treated 7 plasma volumes during 9 hours . We repeated this a further 4 times over 10 days.
Discussion:
A 50 year old male with a history of Polycystic Kidnety disease recieved a Living related ABO incompatible transplant. Despite conventional treatment the antibody titre continued to rise. It was decided to perform large volume plasma exchange with specific antibody adsorbing columns. Large volme exchange is not without its complications. The patient expeienced alkalosis . hypocaleamia and fluid gain . Despite these initial complications the patient recoverd and remains off dialysis
Conclusion:
High volume plasma exchange with immunadsotption is effective in reducing antibody titres where conventional plasma exchange has failed.It is tokerated by the patient. It requires trained, skilled and motivated staff
9:55 am
445R - Research Paper
Abstract
Aim:
This project investigated health service access for CALD kidney transplant patients compared to non-CALD and the potential impact of telehealth during COVID-19.
Method:
A pilot matched retrospective case-control study at a large Victorian health service was conducted. The sample included kidney transplant patients born in Australia (Controls, n=10), from a CALD background requiring an interpreter (Cases 2, n=10) and those not requiring an interpreter (Cases 1, n=10). Outpatient clinic attendance, emergency department (ED) attendance, and rates of hospital admissions (≥24 hours) were collected for a 5-year period, from 2017-2019 (pre-COVID-19) and 2020-2021 (COVID-19). Within-group and between-group comparisons were made.
Results:
From 2017-2021, patients from a CALD background not requiring an interpreter (Cases 1) had a greater mean number of hospital admissions (2.9+3.1), compared to controls (1.4+1.6) and Cases 2 (1.5+2.0). More ED attendances were recorded for Cases 1 (mean, 3.9+5.3), compared to controls (2.0+ 2.8) and Cases 2 (2.4+ 2.2). Cases 1 also had more clinic appointments and greater failure to attend clinic. The introduction of telehealth in 2020 did not have an impact on health service access for any of the groups.
Conclusion:
This current project provides insights into health service access for kidney transplant patients from a CALD and non-CALD background over a 5-year period, including the introduction of telehealth.
Abstract
Aim:
This project investigated health service access for CALD kidney transplant patients compared to non-CALD and the potential impact of telehealth during COVID-19.
Method:
A pilot matched retrospective case-control study at a large Victorian health service was conducted. The sample included kidney transplant patients born in Australia (Controls, n=10), from a CALD background requiring an interpreter (Cases 2, n=10) and those not requiring an interpreter (Cases 1, n=10). Outpatient clinic attendance, emergency department (ED) attendance, and rates of hospital admissions (≥24 hours) were collected for a 5-year period, from 2017-2019 (pre-COVID-19) and 2020-2021 (COVID-19). Within-group and between-group comparisons were made.
Results:
From 2017-2021, patients from a CALD background not requiring an interpreter (Cases 1) had a greater mean number of hospital admissions (2.9+3.1), compared to controls (1.4+1.6) and Cases 2 (1.5+2.0). More ED attendances were recorded for Cases 1 (mean, 3.9+5.3), compared to controls (2.0+ 2.8) and Cases 2 (2.4+ 2.2). Cases 1 also had more clinic appointments and greater failure to attend clinic. The introduction of telehealth in 2020 did not have an impact on health service access for any of the groups.
Conclusion:
This current project provides insights into health service access for kidney transplant patients from a CALD and non-CALD background over a 5-year period, including the introduction of telehealth.
502Q - Research Paper
Abstract
Aim:
To improve the current practices of a major transplanting hospital in the provision of information surrounding correspondence to donor families from recipients.
Method:
Meetings were held with QKTS, NUMs, transplant Coordinators to identify current practices and a review of resources and information provided pre and post transplant, in the inpatient and the outpatient setting was completed.
Results:
The major gaps identified was the timing of when correspondence resources were given to recipients, minimal visual posters around the hospital, health professionals not discussing correspondence as part of common practice post transplantation. The Queensland Family Support Coordinator and the QKTS Social Worker worked together this year to address the gaps.
Conclusion:
It is anticipated that this joint work between DonateLife and QKTS will improve both the recipient and donor correspondence rates and their psychological healing.
Abstract
Aim:
To improve the current practices of a major transplanting hospital in the provision of information surrounding correspondence to donor families from recipients.
Method:
Meetings were held with QKTS, NUMs, transplant Coordinators to identify current practices and a review of resources and information provided pre and post transplant, in the inpatient and the outpatient setting was completed.
Results:
The major gaps identified was the timing of when correspondence resources were given to recipients, minimal visual posters around the hospital, health professionals not discussing correspondence as part of common practice post transplantation. The Queensland Family Support Coordinator and the QKTS Social Worker worked together this year to address the gaps.
Conclusion:
It is anticipated that this joint work between DonateLife and QKTS will improve both the recipient and donor correspondence rates and their psychological healing.
10:25 am
443Q - Research Paper
Abstract
Aim:
To understand the out-of-pocket expenses at the time of renal transplantation
Methods:
Patients who received a renal transplant from May 2023-Dec 2023 were invited to participate in a simple questionnaire on return to their regional caring hospital. Questions regarding demographics and costs incurred while at the transplant hospital were asked.
Results:
12 patients completed the questionnaire. Half of the patients were on no income or Centrelink payments at the time of transplant. The average out-of-pocket expense was $3390 (Range $740-$8810). Food and accommodation were the leading cause of expenditure.
Conclusion:
Patients incur significant costs during the peri-transplant time which may prevent those on low incomes proceeding to transplant.
Abstract
Aim:
To understand the out-of-pocket expenses at the time of renal transplantation
Methods:
Patients who received a renal transplant from May 2023-Dec 2023 were invited to participate in a simple questionnaire on return to their regional caring hospital. Questions regarding demographics and costs incurred while at the transplant hospital were asked.
Results:
12 patients completed the questionnaire. Half of the patients were on no income or Centrelink payments at the time of transplant. The average out-of-pocket expense was $3390 (Range $740-$8810). Food and accommodation were the leading cause of expenditure.
Conclusion:
Patients incur significant costs during the peri-transplant time which may prevent those on low incomes proceeding to transplant.