ArticleJTCVS open2026
Reassessing delayed chest closure in lung transplantation: Outcomes from a propensity score-matched cohort.
Article in JTCVS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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14 authors.
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Abstract
Objective: Delayed chest closure (DCC) is a strategy for managing complex lung transplantation cases. We compared the influences as well as short- and long-term outcomes of DCC to those of primary chest closure (PCC). Methods: We retrospectively analyzed lung transplantation procedures between September 15, 2014, and February 25, 2024, at a single center, excluding single-lung, redo, and multiorgan cases. Propensity score matching balanced donor, recipient, and intraoperative factors. Outcomes and survival were evaluated using univariable/multivariable and Kaplan-Meier analyses, respectively. Results: Of 692 patients, 127 (18%) underwent DCC and 565 (82%) underwent PCC; 86 well-matched pairs were generated. Factors independently associated with DCC included increasing mean pulmonary artery pressure at registration (adjusted odds ratio [aOR], 1.028; 95% CI, 1.002-1.056; Conclusions: Well-matched patients who underwent DCC or PCC had comparable rates of pleural space infection, sternal nonunion, and overall survival, although DCC patients had higher rates of early postoperative morbidity.
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