Early and Late Post Transplantation Anemia in Kidney Transplant : A retrospective Study

Early and Late Post Transplantation Anemia in Kidney Transplant : A retrospective Study
Dr. Alla Hamanejm Hamafaraj ¹*, Dr. Ranan Kardagh Polus ²
_{1.M.B.Ch.B, trainee at Hematopathology department of Kurdistan Board; Nanakali Hospital in Erbil city-Kurdistan region/Iraq
2  .MB.Ch.B, FIBMS, IFCAP (Hematopathology)- Nanakali Hospital in Erbil city- Kurdistan region/Iraq}

Abstract
Background: The post-transplantation anemia is commonly reported nationally and internationally. Anemia following kidney transplant is causing many co-morbidities and poor prognosis of transplant.
Objective: To assess the early and late post transplantation anemia in kidney transplant recipient and identifying risk factors related anemia.
Methodology: This study was a retrospective observational study implemented in Nephrology department of Erbil Teaching Hospital and Paky private hospital in Erbil city-Kurdistan region/Iraq during the period of three years from 1st of May, 2019, to 30th of April, 2022 on convenient sample of fifty patients underwent kidney transplant. The anemia was diagnosed according to World Health Organization (<13mg/dl in men and <12mg/ dl in women). The diagnosis of graft failure was done by nephrologists and kidney transplant physician. The patients were followed retrospectively within last 6 months.
Results: All studied patients had early and late PTA. The mean eGFR was significantly increased late post-transplant. The means of hemoglobin, hematocrit, MCV, RDW, iron, serum ferritin, TSAT and folic acid levels were significantly increased late post-transplant of kidney. On other hand, means of transferrin, vitamin B12 and TSH levels were significantly decreased late post-transplant of kidney. The positive dialysis history and graft failure are the common risk factors affecting anemia prevalence post-transplantation.
Conclusions: The prevalence of early and late post-transplant anemia is high. However, the serum hemoglobin and iron levels

DOI: 10.5281/zenodo.7109116