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18 August 2020: Original Paper

What Awaits on the Other Side: Post-Lung Transplant Morbidity and Mortality After Pre-Transplant Hospitalization

Darya Rudym 1ACDEF , Luke Benvenuto 1ABCDE , Joseph Costa 2B , Meghan Aversa 1AB , Hilary Robbins 1AB , Lori Shah 1AB , Hanyoung Kim 1B , Bryan P. Stanifer 2AB , Joshua Sonett 2AB , Frank D’Ovidio 2AB , Selim M. Arcasoy 1ABCDEF*

DOI: 10.12659/AOT.922641

Ann Transplant 2020; 25:e922641

Table 2 Baseline characteristics by hospital location.

ICU (n = 84)Non-ICU (n = 30)p Value
Age at transplant, mean (SD), years45.7 (16.3)53.6 (12.4)0.017
Male, No. (%)42 (50.0)18 (60.0)0.346
Race/Ethnicity, No. (%)0.874
 White58 (69.0)21 (70.0)
 African American9 (10.7)3 (10.0)
 Hispanic7 (8.3)3 (10.0)
 Asian7 (8.3)3 (10.0)
 Other3 (3.6)0
Diagnosis group, No. (%)0.039
 A (obstructive lung disease)7 (8.3)1 (3.3)
 B (pulmonary vascular disease)6 (7.1)2 (6.7)
 C (cystic fibrosis)28 (33.3)3 (10.0)
 D (restrictive lung disease)43 (51.2)24 (80.0)
Body mass index, mean (SD), kg/m23.6 (5.2)24.4 (4.3)0.436
LAS, mean (SD)87.8 (9.73)75.2 (19.2)
6MWT, mean (SD), feet359 (362)517 (358)0.042
Days on waiting list, mean (SD)109 (154)133 (193)0.504
At transplant27.5 (26.5)27.6 (17.6)0.983
 FEV1, mean (SD), % predicted37.7 (18.2)42.2 (20.7)
 FVC, mean (SD), % predicted45.1 (18.0)44.2 (17.5)0.176
 Serum creatinine, mean (SD), mg/liter0.67 (0.24)0.72 (0.23)0.827
 Mean PA pressure, mean (SD), mmHg31.9 (14.3)30.2 (18.3)0.310
 Chronic hypercapneic RF, No. (%)0.603
  Invasive mechanical ventilation37 (44.0)
  Non-invasive ventilation1 (3.3)
ECMO Support, No (%)51 (60.7)
Data presented as a percent or mean. SD – standard deviation; LAS – lung allocation score; 6MWT – six-minute walk test; LOS – length of stay; FEV1 – forced expiratory volume in the first second; FVC – forced vital capacity; PA – pulmonary artery; RF – respiratory failure; ECMO – extracorporeal membrane oxygenation; CPAP – continuous positive airway pressure.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358