The Efficacy of Mew Score in Renal Transplant Recipients Referred to Emergency Department

Aim: The best treatment option in relation to the advantages in survival in chronic renal disease and in life quality is renal transplantation. During or after the renal transplantation some complications may occur depending on technical reasons. In long term, various infections and metabolic disorders can appear as a result of current immunosuppressive treatments. The present study was conducted in order to determine critical conditions in management of renal transplant cases in Emergency Department and to investigate the efficacy of MODIFIED EARLY WARNING (MEW) score in determining the morbidity and acute renal failure (ARF) in renal transplant cases. Material and Method: 172 renal transplant recipients presenting to Uludag University Medicine Faculty Emergency Department were investigated prospectively. The patients, whose MEW scores were calculated, were evaluated in terms of the diagnoses, hospitalisation reasons, and presence of (ARF) attack and the relationship with MEW score was investigated. Results: 22.8% (n:26) of applications matched with sepsis and significant difference was found out in those patients in terms of ARF (