ArticleEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2025
Impact of Mild-to-Moderate Donor Lung Infiltration on Post-lung Transplant Survival Outcomes and Risk Factors: A National Cohort Study.
Article in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Lung transplantation from polytrauma donors: beyond primary graft dysfunction.Frontiers in medicine · 2026Article
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Authors and funding
12 authors.
Funding
Abstract
objectivesAmid donor shortages, chest X-ray (CXR) is widely used for lung donor screening due to its accessibility, low cost, and rapid imaging. We evaluated the impact of donor CXR infiltrates on post-transplant survival to inform donor lung utilization.
methodsThis retrospective cohort study included adult lung transplant recipients from the United Network for Organ Sharing (UNOS) registry from May 5, 2005 to December 31, 2022. Patients were grouped by the presence or absence of donor CXR infiltrates. Using propensity score matching (PSM) to control variable balance, Kaplan-Meier survival analysis estimated post-transplant survival (at 30 days, 90 days, 1 year, 5 years, and 10 years). Multivariable logistic regression models were applied to identify independent risk donor factors of CXR infiltration.
resultsUnadjusted analyses showed higher short-term survival (30-day/90-day/1-year) in the presence of chest X-ray infiltration group (PCIG) versus the absence of chest X-ray infiltration group (ACIG) (all P < .05), but no differences in 5-year/10-year survival (P > .05) or median survival (P = .567). After PSM, the 2 groups had similar recipient causes of death and rates of postoperative complications. Obesity, prior pulmonary infection, ratio of arterial oxygen partial pressure to fractional inspired oxygen (PaO2/FiO2)<300 mmHg, and positive bronchoscopy independently predicted donor infiltrates (all P < .001).
conclusionsMild-to-moderate donor lung CXR infiltrates do not independently impair long-term survival or increase major complications. These findings support rational utilization of such lungs within standardized multivariable assessment.
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