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Early emergency department and hospital re-admissions are common in renal transplant recipients, but data are lacking in unique populations. Study Aim The purpose of this study was to identify patient risk factors for multiple acute care utilization events within the first year of renal transplantation. This was a single-center, retrospective cohort study of adult renal transplant recipients between 9/2013-9/2016. Patients were compared across number of emergency department visits and by hospital re-admissions. Diagnoses were categorize