Clinical risk factors for primary graft dysfunction in a low-volume lung transplantation center

M. Nosotti, A. Palleschi, L. Rosso, D. Tosi, P. Mendogni, I. Righi, M. Montoli, S. Crotti, R. Russo

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Primary graft dysfunction (PGD) is a severe acute lung injury syndrome following lung transplantation. Previous studies of clinical risk factors, including a multicenter prospective cohort trial, have identified a number of recipient, donor, and operative variables related to Grade 3 PGD. The aim of this study was to validate these risk factors in a lung transplantation center with a low volume of procedures. We conducted a retrospective cohort study of 45 consecutive lung transplantations performed between January 2011 and September 2013. PGD was defined according to the International Society for Heart and Lung Transplantation grading scale. Risk factors were evaluated independently and the significant confounders entered into multivariable logistic regression models. The overall incidence of Grade 3 PGD was 35.5% at T24, 17.7% at T48, and 15.5% at T72. The following risk factors were associated with Grade 3 PGD at the indicated time points: recipient female gender at T24 (P =.034), mixed diagnoses at T72 (P =.047), ECMO bridge-to-lung transplantation at T24 (P =.0004) and at T48 (P =.038), donor causes of death different from stroke and trauma at T24 (P =.019) and T72 (P =.014), blood transfusions during surgery at T24 (P =.001), intraoperative venoarterial ECMO T24 (P

Original languageEnglish
Pages (from-to)2329-2333
Number of pages5
JournalTransplantation Proceedings
Issue number7
Publication statusPublished - Sep 1 2014

ASJC Scopus subject areas

  • Surgery
  • Transplantation
  • Medicine(all)


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