Clinical Outcomes of Lung Transplantation: Experience at Asan Medical Center / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 22-28, 2018.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-742325
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Lung transplantation is a life-saving procedure in patients with end-stage lung disease, and is increasingly performed in Korea.METHODS:
We retrospectively evaluated the outcomes of patients who received a lung transplant at Asan Medical Center between January 2008 and December 2016. Thirteen of 54 patients experienced multiorgan transplantation; the remaining 41 who received only lung grafts were included.RESULTS:
The mean age of the lung transplant recipients was 44.6 years; 27 were men and 14 were women. The most frequent reasons were idiopathic interstitial pneumonia (21 of 41 patients, 51.2%), interstitial lung disease (9 of 41, 22.0%), and bronchiolitis obliterans after bone marrow transplantation (7 of 41, 17.1%). The median waiting time was 47 days, and many patients received preoperative intensive care (27 of 41, 65.9%), ventilator support (26 of 41, 63.4%), or extracorporeal life support (19 of 41, 46.3%). All 41 patients received bilateral lung grafts. Ten deaths occurred (24.3%), including 5 cases of early mortality (12.2%) and 5 cases of late mortality (12.2%). The 1-, 3-, and 5-year survival rates were 78.9%, 74.2%, and 69.3%, respectively.CONCLUSION:
Despite a high percentage of patients who required preoperative intensive care, the transplantation outcomes were acceptable.
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Other Respiratory Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Bronchiolitis Obliterans
/
Ventilators, Mechanical
/
Survival Rate
/
Retrospective Studies
/
Mortality
/
Bone Marrow Transplantation
/
Lung Transplantation
/
Lung Diseases, Interstitial
/
Transplants
/
Critical Care
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2018
Document type:
Article