Complicaciones del trasplante de pulmón en la enfermedad pulmonar obstructiva crónica

Navarro, José Cerón; Quevedo, Karol de Aguiar; Franch, Nuria Mancheño; Cuesta, Juan Carlos Peñalver; Vera-Sempere, Francisco; Alarcón, José Padilla

doi:10.1016/j.medcli.2012.07.028

Cited by 11 publications

(3 citation statements)

References 29 publications

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“…In our investigation, the proportion of infections rose over time in patients with and without COPD, and in-hospital infections were a positive predictor of IHM. In fact, infections have been described as the most frequent cause of perioperative mortality and within the first year post-LTx 12,28. However, we must take into account that the increase in infections and complications over time may well be related to the increase in the number of single LTxs.…”

Section: Discussionmentioning

confidence: 99%

<p>Trends and hospital outcomes of lung transplantation among patients with and without chronic obstructive pulmonary disease in Spain: a national population-based study (2001–2015)</p>

Miguel-Díez

López‐de‐Andrés

Hernández-Barrera

et al. 2019

COPD

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Purpose To describe trends from 2001 to 2015 in incidence and in-hospital outcomes of patients suffering or not suffering from COPD who had undergone lung transplantation (LTx) in Spain. Methods We used the Spanish National Hospital Discharge Database to select all admissions for LTx. Incidence was estimated overall and according to the presence of COPD. Outcomes included infections, complications, length of hospital stay and in-hospital mortality (IHM). Results We identified 2,896 admissions for LTx. Admission rates rose in COPD sufferers and non-COPD sufferers over time, with higher rates among COPD patients. COPD and non-COPD patients were older, but mean age was higher in COPD patients. Although there was a male predominance among patients, the proportion of women significantly increased over time in the COPD population. COPD patients had lower Charlson Comorbidity Index values than non-COPD patients (score ≥1, 25.83% and 31.6%, P <0.05). We observed a significant increase in infections and complications of LTx or rejection for both groups over time. IHM decreased from 2001 to 2015 in both groups of patients. COPD was a predictor of lower IHM (OR 0.75, 95% CI 0.61–0.93) after LTx. Conclusion LTx-incidence rates were higher in COPD patients and increased over the study period in both groups. The proportion of women significantly increased over time among COPD sufferers. IHM decreased from 2001 to 2015 in both groups of patients. COPD was a predictor of lower mortality during admissions for LTx.

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Section: Discussionmentioning

confidence: 99%

<p>Trends and hospital outcomes of lung transplantation among patients with and without chronic obstructive pulmonary disease in Spain: a national population-based study (2001–2015)</p>

Miguel-Díez

López‐de‐Andrés

Hernández-Barrera

et al. 2019

COPD

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“…Complicated effusions are associated with poor patient outcomes [ 31 , 32 , 35 ] and occur more commonly in double lung transplant recipients [ 32 ]. The incidence of hemothorax is between 12 and 18% with a trend towards increase in sarcoidosis and re-transplantations [ 31 , 36 , 37 ]. Morbidity and mortality are related to hemodynamic instability, need for vasopressor use, and surgical re-exploration in up to 46–65% of cases [ 31 , 37 ].…”

Section: Pleural Complicationsmentioning

confidence: 99%

Early postoperative complications in lung transplant recipients

Soetanto

Grewal

Mehta

et al. 2021

Indian J Thorac Cardiovasc Surg

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Lung transplantation has become an established therapy for end-stage lung diseases. Early postoperative complications can impact immediate, mid-term, and long-term outcomes. Appropriate management, prevention, and early detection of these early postoperative complications can improve the overall transplant course. In this review, we highlight the incidence, detection, and management of these early postoperative complications in lung transplant recipients.

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“…La transplantation pulmonaire est une opération chirurgicale complexe avec une mortalité péri-opératoire qui a été évaluée à 14 % par une équipe espagnole en 2013 9 . Il convient donc de rechercher des contre-indications liées aux comorbidités et impactant négativement la survie des patients après transplantation.…”

Section: Contre-indicationsunclassified

Impact des comorbidités cardiovasculaires sur la survie des patients après une transplantation pulmonaire pour BPCO. À propos de l’expérience strasbourgeoise

Payen

2020

Revue des Maladies Respiratoires Actualités

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Complicaciones del trasplante de pulmón en la enfermedad pulmonar obstructiva crónica

Cited by 11 publications

References 29 publications

<p>Trends and hospital outcomes of lung transplantation among patients with and without chronic obstructive pulmonary disease in Spain: a national population-based study (2001–2015)</p>

<p>Trends and hospital outcomes of lung transplantation among patients with and without chronic obstructive pulmonary disease in Spain: a national population-based study (2001–2015)</p>

Early postoperative complications in lung transplant recipients

Impact des comorbidités cardiovasculaires sur la survie des patients après une transplantation pulmonaire pour BPCO. À propos de l’expérience strasbourgeoise

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Complicaciones del trasplante de pulmón en la enfermedad pulmonar obstructiva crónica

Cited by 11 publications

References 29 publications

<p>Trends and hospital outcomes of lung transplantation among patients with and without chronic obstructive pulmonary disease in Spain: a national population-based study (2001&ndash;2015)</p>

<p>Trends and hospital outcomes of lung transplantation among patients with and without chronic obstructive pulmonary disease in Spain: a national population-based study (2001&ndash;2015)</p>

Early postoperative complications in lung transplant recipients

Impact des comorbidités cardiovasculaires sur la survie des patients après une transplantation pulmonaire pour BPCO. À propos de l’expérience strasbourgeoise

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Product

Resources

About

<p>Trends and hospital outcomes of lung transplantation among patients with and without chronic obstructive pulmonary disease in Spain: a national population-based study (2001–2015)</p>

<p>Trends and hospital outcomes of lung transplantation among patients with and without chronic obstructive pulmonary disease in Spain: a national population-based study (2001–2015)</p>