{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:39:30Z","timestamp":1792291170380,"version":"4.4.0"},"reference-count":49,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T00:00:00Z","timestamp":1601251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Chronic kidney disease is an independent risk factor for cardiovascular disease. Despite careful preoperative evaluation, there is a risk of acute coronary syndromes after kidney transplant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The National Inpatient Sample for the years 2004\u20102013 was used for this retrospective cohort study. All adult patients undergoing kidney transplantation were identified using the appropriate ICD\u20109\u2010CM codes. Multivariate logistic regression was used to identify predictors of acute coronary syndromes in the peri\u2010operative period after kidney transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 147\u00a0431 kidney transplants were performed from 2004 through 2013 in the United States. The average peri\u2010operative in\u2010hospital mortality was 0.5%. Acute coronary syndrome occurred in 1.3% patients in the peri\u2010operative period. Half of patients with acute coronary syndromes had pre\u2010existing coronary artery disease. The strongest predictors of acute coronary syndromes included older age: 45\u201064\u00a0years. OR 3.28 95% CI (1.85\u20105.83), \u226565\u00a0years. OR 4.84 (2.59\u20109.05), race: African American, OR 0.66 (0.47\u20100.93) and pre\u2010existing coronary artery disease OR 3.83 (2.84\u20105.15). The case fatality rates were 16.9% and 5.3% for STEMI and NSTEMI, respectively. The overall mortality for any ACS event was 7.1%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Acute coronary syndrome in the immediate peri\u2010operative period after kidney transplantation is rare but is associated with high rates of mortality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.14083","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T20:40:47Z","timestamp":1600461647000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Acute coronary syndromes in the peri\u2010operative period after kidney transplantation in United States"],"prefix":"10.1111","volume":"34","author":[{"given":"Abhinav","family":"Goyal","sequence":"first","affiliation":[{"name":"Department of Digestive Diseases and Transplantation Einstein Medical Center Philadelphia PA 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