Evidence map›Paper›PMID 31903264›Full record

ArticleJournal of thoracic disease2019

Outcomes and risk factors identification in urgent lung transplantation: a multicentric study.

Marco Schiavon, Giulio Faggi, Lorenzo Rosso, Luca Luzzi, Giovanni Maria Comacchio, Dario Gregori, Mario Nosotti, Francesco Damarco, Andrea Dell'Amore, David Bennet and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of thoracic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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  3. 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

14 authors at 3 institutions in 1 country.

Marco SchiavonThoracic Surgery and Lung Transplantation Unit, University-Hospital of Padova, Padova, Italy.
Giulio FaggiThoracic Surgery and Lung Transplantation Unit, University-Hospital of Padova, Padova, Italy.
Lorenzo RossoThoracic surgery and Lung Transplantation Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy.
Luca LuzziLung Transplantation Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy.
Giovanni Maria ComacchioThoracic Surgery and Lung Transplantation Unit, University-Hospital of Padova, Padova, Italy.
Dario GregoriStatistic Unit, Department of Cardiac, Thoracic, Vascular Unit and Public Health, University of Padova, Padova, Italy.
Mario NosottiThoracic surgery and Lung Transplantation Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy.
Francesco DamarcoThoracic surgery and Lung Transplantation Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy.
Andrea Dell'AmoreThoracic Surgery and Lung Transplantation Unit, University-Hospital of Padova, Padova, Italy.
David BennetLung Transplantation Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy.
Antonella FossiLung Transplantation Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy.
Piero PaladiniLung Transplantation Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy.
Luigi SantambrogioThoracic surgery and Lung Transplantation Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy.
Federico ReaThoracic Surgery and Lung Transplantation Unit, University-Hospital of Padova, Padova, Italy.
University of Padua · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn rapidly lung deteriorating patients, urgent lung transplantation (ULT) seems the only definitive therapy. Few publications on this topic report conflicting results, putting a word of caution about ULT programs.

methodsA national ULT program was introduced in 2010: patients on mechanical support may be transplanted with the first available graft. We reviewed the experience of three national center, focusing on post-operative outcomes after ULT.

resultsTen patients (17.5%) died awaiting transplantation, while 47 underwent LT with a median urgent waiting list time of 6 days. Pre-operatively, 4.3% of patients were supported only by mechanical ventilation (MV), 55.3% by extracorporeal membrane oxygenation (ECMO) and the remaining 40.4% by both. The main indication was cystic fibrosis (64%). Median recipient lung allocation score was 72. In-hospital mortality was 19%. MV and ECMO median duration of 7 and 3 days, respectively while intensive care unit (ICU) and hospital stay were 20 and 46 days, respectively. At long-term, 1- and 3-year survival rate were 74% and 70%, respectively. Highly impact risk factors for in-hospital mortality were both presence and duration of preoperative veno-arterial ECMO and pre-transplant C-reactive protein level.

conclusionsULT program allows transplantation in a significant percentage of patients with acceptable results. Pre-operative recipient selection is mandatory to improve clinical outcomes.

Indexed as

C-reactive protein (CRP)extracorporeal membrane oxygenation (ECMO)lung allocation scoreLung transplantation (LT)

Identifiers

PMID31903264
PMCPMC6940257
OpenAlexW2989397113

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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.