Rothman Index Predicts Perioperative Outcomes After Lung ...
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Rothman Index Predicts Perioperative Outcomes After Lung ...
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The Journal of Heart and Lung Transplantation, Vol 36, No 4S, April 2017
trends in the incidence of 30 day mortality during the post-lung allocation score (LAS) era and determine its independent predictors. Methods: We queried the UNOS database for adult LT patients from 2006-14. Patients with dual organ or previous transplantation and those with missing survival data were excluded. With 30 day mortality as the primary outcome variable, donor, recipient and procedure related variables were analyzed as potential predictors. Multivariate logistic regression analysis was conducted to determine independent associations. Results: The overall 30 day mortality was 3.6% (482/13297) and yearly incidence remained stable (p= 0.302, Figure). Among patients with 30 day mortality where cause of graft failure had been reported, 'primary nonfunction’ (118/162, 72.8%) was the most common etiology. Underlying diagnosis other than obstructive airway disease or cystic fibrosis (adjusted OR: 1.48, 1.14-1.92; p= 0.004), history of non-transplant cardiac or lung surgery (1.62, 1.06-2.48; p= 0.026), mean pulmonary pressures> 35 mm Hg (1.57, 1.22-2.02; p 6 hours (1.57, 1.25-1.96; p
