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The impact of the SARS-CoV-2 pandemic and COVID-19 on lung transplantation in the UK: Lessons learned from the first wave.
Hardman, Gillian; Sutcliffe, Ruth; Hogg, Rachel; Mumford, Lisa; Grocott, Laura; Mead-Regan, Sarah-Jane; Nuttall, Jane; Dunn, Stephanie; Seeley, Philip; Clark, Stephen; Quigley, Richard; Al-Attar, Nawwar; Booth, Karen; Dark, John H; Fisher, Andrew J.
  • Hardman G; Clinical Research and Clinical Audit Fellow in Cardiothoracic Transplantation, NHS Blood and Transplant, Bristol, UK.
  • Sutcliffe R; Institute of Transplantation, Freeman Hospital, Newcastle upon Tyne, UK.
  • Hogg R; Allied Health Professional representative, Cardiothoracic Advisory Group Clinical Audit Group, NHS Blood and Transplant, Bristol, UK.
  • Mumford L; Recipient Transplant Coordinator, Wythenshawe Hospital, Manchester, UK.
  • Grocott L; Statistics and Clinical Studies, NHS Blood and Transplant, Bristol, UK.
  • Mead-Regan SJ; Statistics and Clinical Studies, NHS Blood and Transplant, Bristol, UK.
  • Nuttall J; Heart and Lung transplant recipient coordinator, Queen Elizabeth Hospital, Birmingham, UK.
  • Dunn S; Heart and Lung Transplant Recipient Coordinator, Great Ormond Street Hospital for Children, London, UK.
  • Seeley P; Recipient Transplant Coordinator, Wythenshawe Hospital, Manchester, UK.
  • Clark S; Heart and Lung transplant recipient coordinator, Institute of Transplantation, Freeman Hospital, Newcastle upon Tyne, UK.
  • Quigley R; Lead Nurse for Heart and Lung Transplantation, Freeman Hospital, Newcastle upon Tyne, UK.
  • Al-Attar N; Institute of Transplantation, Freeman Hospital, Newcastle upon Tyne, UK.
  • Booth K; Lead Nurse for transplantation, Royal Papworth Hospital, Cambridge, UK.
  • Dark JH; Chair, Cardiothoracic Advisory Group Clinical Audit Group, NHS Blood and Transplant, Bristol, UK.
  • Fisher AJ; Institute of Transplantation, Freeman Hospital, Newcastle upon Tyne, UK.
Clin Transplant ; 35(3): e14210, 2021 03.
Article in English | MEDLINE | ID: covidwho-998855
ABSTRACT

BACKGROUND:

Lung transplantation is particularly susceptible to the impact of the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic, and evaluation of changes to practice is required to inform future decision-making.

METHODS:

A retrospective review of the UK Transplant Registry (UKTR) and national survey of UK lung transplant centers has been performed.

RESULTS:

There was geographic variation in the prevalence of COVID-19 infection across the UK. The number of donors fell by 48% during the early pandemic period. Lung utilization fell to 10% (compared with 24% for the same period of 2019). The number of lung transplants performed fell by 77% from 53, March to May 2019, to 12. Seven (58%) of these were performed in a single-center, designated "COVID-light." The number of patients who died on the lung transplant waiting list increased, compared to the same period of 2019 (p = .0118). Twenty-six lung transplant recipients with confirmed COVID-19 infection were reported during the study period.

CONCLUSION:

As the pandemic continues, reviewing practice and implementing the lessons learned during this period, including the use of robust donor testing strategies and the provision of "COVID-light" hospitals, are vital in ensuring the safe continuation of our lung transplant program.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tissue Donors / Registries / Waiting Lists / Lung Transplantation / Pandemics / Transplant Recipients / COVID-19 Type of study: Experimental Studies / Observational study Limits: Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Clin Transplant Journal subject: Transplantation Year: 2021 Document Type: Article Affiliation country: Ctr.14210

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tissue Donors / Registries / Waiting Lists / Lung Transplantation / Pandemics / Transplant Recipients / COVID-19 Type of study: Experimental Studies / Observational study Limits: Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Clin Transplant Journal subject: Transplantation Year: 2021 Document Type: Article Affiliation country: Ctr.14210