ArticleClinical transplantation2017
Delirium after lung transplantation: Association with recipient characteristics, hospital resource utilization, and mortality.
Article in Clinical transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Low Skeletal Muscle Mass and the Incidence of Delirium in Hospitalized Older Patients: A Systematic Review and Meta-Analysis of Observational Studies.International journal of clinical practice · 2023Pooled it
- Importance of psychiatric evaluation and long-term outcomes of delirium in lung transplant recipients.Annals of medicine · 2026Article
- Disturbed sleep after lung transplantation is associated with worse patient-reported outcomes and chronic lung allograft dysfunction.JHLT open · 2025Article
- Disturbed sleep after lung transplantation is associated with worse patient-reported outcomes and chronic lung allograft dysfunction.medRxiv : the preprint server for health sciences · 2024Article
- The Intersection of Aging and Lung Transplantation: its Impact on Transplant Evaluation, Outcomes, and Clinical Care.Current transplantation reports · 2022Article
- Medical Complications of Lung Transplantation.Journal of chest surgery · 2022Article
- Non-pulmonary complications after lung transplantation: Part I.Indian journal of thoracic and cardiovascular surgery · 2022Review
- Consensus document for the selection of lung transplant candidates: An update from the International Society for Heart and Lung Transplantation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2021Article
- Delirium Among Adults Undergoing Solid Organ Transplantation.Current transplantation reports · 2021Article
- The association of post-operative delirium with patient-reported outcomes and mortality after lung transplantation.Clinical transplantation · 2021Article
- Clinical and Neuroimaging Correlates of Post-Transplant Delirium.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020Article
- Diary for self-observation: A self-management tool for recipients of lung transplantation-A pilot study.Nursing open · 2020Article
- Cerebral complications of solid organ transplantation.Intensive care medicine · 2019Article
- Incidence, Risk Factors, and Sequelae of Post-kidney Transplant Delirium.Journal of the American Society of Nephrology : JASN · 2018Article
- Neurological Sequelae and Clinical Outcomes After Lung Transplantation.Transplantation direct · 2018Article
- Nurses' Experiences of the Prerequisites for Implementing Family-Centered Care to Prevent Pediatric Delirium.Clinical nurse specialist CNSArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundDelirium is associated with increased morbidity and mortality. The factors associated with post-lung transplant delirium and its impact on outcomes are under characterized.
methodsThe medical records of 163 consecutive adult lung transplant recipients were reviewed for delirium within 5 days (early-onset) and 30 hospital days (ever-onset) post-transplantation. A multivariable logistic regression model assessed factors associated with delirium. Multivariable negative binomial regression and Cox proportional hazards models assessed the association of delirium with ventilator duration, intensive care unit (ICU) length of stay (LOS), hospital LOS, and one-year mortality.
resultsThirty-six percent of patients developed early-onset, and 44% developed ever-onset delirium. Obesity (OR 6.35, 95% CI 1.61-24.98) and bolused benzodiazepines within the first postoperative day (OR 2.28, 95% CI 1.07-4.89) were associated with early-onset delirium. Early-onset delirium was associated with longer adjusted mechanical ventilation duration (P=.001), ICU LOS (P<.001), and hospital LOS (P=.005). Ever-onset delirium was associated with longer ICU (P<.001) and hospital LOS (P<.001). After adjusting for clinical variables, delirium was not significantly associated with one-year mortality (early-onset HR 1.65, 95% CI 0.67-4.03; ever-onset HR 1.70, 95% CI 0.63-4.55).
conclusionsDelirium is common after lung transplant surgery and associated with increased hospital resources.
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