Evidence map›Paper›PMID 23306540›Full record

ArticleAmerican journal of respiratory and critical care medicine2013

Clinical risk factors for primary graft dysfunction after lung transplantation.

Joshua M Diamond, James C Lee, Steven M Kawut, Rupal J Shah, A Russell Localio, Scarlett L Bellamy, David J Lederer, Edward Cantu, Benjamin A Kohl, Vibha N Lama and 15 more

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in American journal of respiratory and critical care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05691205 (Identifying the Optimal Positive End-Expiratory Pressure Level to Ventilate Patients After Bilateral Lung Transplantation), which is not on this map. Cited by 284 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
284citing papers in PubMed, 4 pooled it
42.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05691205 nacompletednot on this mapstarted 2023, after this paper: background citation

Identifying the Optimal Positive End-Expiratory Pressure Level to Ventilate Patients After Bilateral Lung Transplantation

TypeinterventionalSponsorPoliclinico HospitalRan2023 to 2025Enrolled47ConditionsLung Transplant, Complications, Primary Graft DysfunctionArmsPEEP
3 · Its place in the literature

Who cites it

284 citing papers in PubMed, 4 syntheses or guidelines pooled it, 679 citations in OpenAlex.

  1. Pooled it
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  3. Sternal Complications After Clamshell Surgery for (Heart-)Lung Transplantation-A Systematic Literature Review.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Pooled it
  4. Comparison of Prognosis for Lung Transplantation between Older and Younger Donors: A Systematic Review and Meta-Analysis Based on Cohort Studies.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024
    Pooled it
  5. A randomized trial of open lung protective ventilation compared to conventional mechanical ventilation in deceased organ donors.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2025
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  7. Postreperfusion plasma endothelial activation markers are associated with acute kidney injury after lung transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Trial
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224 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 13 institutions in 1 country.

Joshua M DiamondPulmonary, Allergy and Critical Care Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA. joshua.diamond@uphs.upenn.edu
James C Lee
Steven M Kawut
Rupal J Shah
A Russell Localio
Scarlett L Bellamy
David J Lederer
Edward Cantu
Benjamin A Kohl
Vibha N Lama
Sangeeta M Bhorade
Maria Crespo
Ejigayehu Demissie
Joshua Sonett
Keith Wille
Jonathan Orens
Ashish S Shah
Ann Weinacker
Selim Arcasoy
Pali D Shah
David S Wilkes
Lorraine B Ware
Scott M Palmer
Jason D Christie
Lung Transplant Outcomes Group
California University of Pennsylvania · USJohns Hopkins University · USColumbia University · USDuke University · USIndiana University School of MedicinePulmonary and Allergy Associates · USStanford University · USUniversity of Alabama at Birmingham · USUniversity of Chicago · USUniversity of Michigan · USUniversity of Pennsylvania · USUniversity of Pittsburgh · USVanderbilt University · US

Funding

Clinical Risk Factors for Primary Graft DysfunctionR01HL087115 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2007 to 2017
$7.1M
Genetics of primary graft dysfunctionR01HL081619 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2007 to 2011
$3.9M
Obesity, Inflammation, and Lung Injury After Lung TransplantationR01HL114626 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHRISTIE, JASON D, LEDERER, DAVID J. · 2013 to 2016
$3.1M
Role of anti-Col (V) immunity in primary graft dysfunctionR01HL096845 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D, WILKES, DAVID S · 2010 to 2013
$2.2M
Midcareer Investigator Award in Patient-Oriented Research in Acute Lung InjuryK24HL103836 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WARE, LORRAINE B · 2010 to 2020
$1.6M
Mentored Patient Oriented Research in Lung TransplantationK24HL115354 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2012 to 2021
$1.2M
Lung Transplant donor: prediction, evaluation, and mechanismK23HL116656 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CANTU, EDWARD · 2013 to 2017
$872k
NHLBI NIH HHS K23 HL116656NHLBI NIH HHS K24 HL103836NHLBI NIH HHS K24 HL115354NHLBI NIH HHS R01 HL081619NHLBI NIH HHS R01 HL087115NHLBI NIH HHS R01 HL096845NHLBI NIH HHS R01 HL114626
6 · The paper itself

Abstract

rationalePrimary graft dysfunction (PGD) is the main cause of early morbidity and mortality after lung transplantation. Previous studies have yielded conflicting results for PGD risk factors.

objectivesWe sought to identify donor, recipient, and perioperative risk factors for PGD.

methodsWe performed a 10-center prospective cohort study enrolled between March 2002 and December 2010 (the Lung Transplant Outcomes Group). The primary outcome was International Society for Heart and Lung Transplantation grade 3 PGD at 48 or 72 hours post-transplant. The association of potential risk factors with PGD was analyzed using multivariable conditional logistic regression. MEASUREMENTS AND MAIN

resultsA total of 1,255 patients from 10 centers were enrolled; 211 subjects (16.8%) developed grade 3 PGD. In multivariable models, independent risk factors for PGD were any history of donor smoking (odds ratio [OR], 1.8; 95% confidence interval [CI], 1.2-2.6; P = 0.002); FiO2 during allograft reperfusion (OR, 1.1 per 10% increase in FiO2; 95% CI, 1.0-1.2; P = 0.01); single lung transplant (OR, 2; 95% CI, 1.2-3.3; P = 0.008); use of cardiopulmonary bypass (OR, 3.4; 95% CI, 2.2-5.3; P < 0.001); overweight (OR, 1.8; 95% CI, 1.2-2.7; P = 0.01) and obese (OR, 2.3; 95% CI, 1.3-3.9; P = 0.004) recipient body mass index; preoperative sarcoidosis (OR, 2.5; 95% CI, 1.1-5.6; P = 0.03) or pulmonary arterial hypertension (OR, 3.5; 95% CI, 1.6-7.7; P = 0.002); and mean pulmonary artery pressure (OR, 1.3 per 10 mm Hg increase; 95% CI, 1.1-1.5; P < 0.001). PGD was significantly associated with 90-day (relative risk, 4.8; absolute risk increase, 18%; P < 0.001) and 1-year (relative risk, 3; absolute risk increase, 23%; P < 0.001) mortality.

conclusionsWe identified grade 3 PGD risk factors, several of which are potentially modifiable and should be prioritized for future research aimed at preventative strategies. Clinical trial registered with www.clinicaltrials.gov (NCT 00552357).

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHumansLogistic ModelsLung TransplantationMaleMiddle AgedMultivariate AnalysisPrimary Graft DysfunctionProspective StudiesRisk FactorsUnited States

Identifiers

PMID23306540
PMCPMC3733407
OpenAlexW2073264366

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.