Your browser doesn't support javascript.
loading
Single-Center Experience With Lung Transplant Evaluation Referrals of Acute Respiratory Distress Syndrome Patients During the COVID-19 Pandemic: How Do You Make Up For Lost Time?
Cerier, Emily J; Toyoda, Takahide; McNulty, Colleen; O'Boye, Anne; Kurihara, Chitaru; Bharat, Ankit; Nadig, Nandita R.
Afiliación
  • Cerier EJ; Department of Thoracic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
  • Toyoda T; Department of Thoracic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
  • McNulty C; Department of Thoracic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
  • O'Boye A; Department of Thoracic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
  • Kurihara C; Department of Thoracic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
  • Bharat A; Department of Thoracic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
  • Nadig NR; Department of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Crit Care Explor ; 5(9): e0965, 2023 Sep.
Article en En | MEDLINE | ID: mdl-37693304
Transfer of select, medically refractory acute respiratory distress syndrome patients to lung transplant centers requires extensive resources. Here, we report 270 consecutive lung transplant patient referrals to our center for medically refractory ARDS from June 2021 to April 2022, following the implementation of clinical care pathways for intake of these patients. Eighty-seven of 270 patients (32.2%) met screening criteria and were evaluated for transfer within a median of 12 days, during which 38 of 87 patients (43.7%) died and 12 of 87 patients (13.8%) transferred elsewhere. Thirty-seven of 87 patients (42.5%) were accepted for transfer of which 16 of 37 patients (43.2%) successfully transferred to our center with a median transfer waiting period of 12 days. Because of resource constraints, 21 of 37 accepted patients (56.8%) could not be transferred of which 9 of 21 patients (42.9%) died while waiting. Nine of 16 transferred patients (56.2%) eventually underwent lung transplantation with over 80% 6-month survival. ARDS patients referred for transplantation have high risk of mortality and, therefore, require well-described pathways for evaluation and transfer.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline Idioma: En Revista: Crit Care Explor Año: 2023 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline Idioma: En Revista: Crit Care Explor Año: 2023 Tipo del documento: Article
...