Evidence map›Paper›PMID 29707624›Full record

ArticleTransplantation direct2018

Neurological Sequelae and Clinical Outcomes After Lung Transplantation.

Patrick J Smith, Gregory L Stonerock, Krista K Ingle, Caroline K Saulino, Benson Hoffman, Brian Wasserman, James A Blumenthal, Scott M Palmer, Jacob A Klapper, Matthew G Hartwig and 2 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Medical Complications of Lung Transplantation.Journal of chest surgery · 2022
    Article
  7. Non-pulmonary complications after lung transplantation: Part I.Indian journal of thoracic and cardiovascular surgery · 2022
    Review
  8. Article
  9. Article
  10. 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 · 2021
    Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Patrick J SmithDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
Gregory L StonerockDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
Krista K IngleDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
Caroline K SaulinoDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
Benson HoffmanDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
Brian WassermanDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
James A BlumenthalDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
Scott M PalmerDepartment of Medicine, Duke University Medical Center, Durham, NC.
Jacob A KlapperDepartment of Surgery, Duke University Medical Center, Durham, NC.
Matthew G HartwigDepartment of Surgery, Duke University Medical Center, Durham, NC.
Valentine R EspositoDepartment of Surgery, Duke University Medical Center, Durham, NC.
Laurie D SnyderDepartment of Medicine, Duke University Medical Center, Durham, NC.
Duke Medical Center · USDuke University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurological complications are common after lung transplantation. However, no large cohort studies have examined the incidence, predictors, and clinical significance of neurological events sustained by lung transplant recipients.

methodsWe conducted a retrospective cohort analysis of a consecutive series of lung transplant recipients, transplanted at Duke University Medical Center between May 2014 and February 2017 (n = 276). Early neurological complications (ie, occurring during the first week after transplant) were documented by transplant mental health specialists and included delirium, ischemic injury, and posterior reversible encephalopathy syndrome. Analyses accounted for age, native disease, sex, type of transplant, lung allocation score, and primary graft dysfunction. The objectives of the study were to characterize the prevalence and predictors of early neurological sequelae (NSE), occurring during the first week posttransplant, and the association between NSE and subsequent clinical outcomes, including length of stay and mortality.

resultsNeurological sequelae were common, occurring in 123 (45%) patients. Fifty-seven patients died over a follow-up interval of 2.1 years. The most common NSE were postoperative delirium (n = 110 [40%]) and posterior reversible encephalopathy syndrome (n = 12 [4%]), followed by stroke/transient ischemic attack and neurotoxicity. Higher lung allocation score was the strongest predictor of delirium. The presence of a NSE was associated with longer length of hospital stay (32 days vs 17 days,

conclusionsNeurological events are relatively common after lung transplantation and associated with adverse clinical outcomes.

Identifiers

PMID29707624
PMCPMC5908456
OpenAlexW2792126339

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.