Bozovic G, Adlercreutz C, Björkman-Burtscher IM, Reinstrup P, Ingemansson R, Skansebo E, Geijer M. Impact of donor chest radiography on clinical outcome after lung transplantation.
Acta Radiol Open 2018;
7:2058460118781419. [PMID:
29977606 PMCID:
PMC6024291 DOI:
10.1177/2058460118781419]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2017] [Accepted: 05/11/2018] [Indexed: 11/23/2022] Open
Abstract
Background
Organ donation guidelines recommend a “clear” conventional bedside chest
radiograph before lung transplantation despite only moderate accuracy for
cardiopulmonary abnormalities.
Purpose
To evaluate the influence of donor image interpretation on lung
transplantation outcome in recipients by following early and late
complications, one-year survival, and to correlate imaging findings and
blood gas analysis with lung transplantation outcome in recipients.
Material and Methods
In 35 lung donors from a single institution clinical reports and study
reviews of imaging findings of the mandatory bedside chest radiographs and
blood gas analyses were compared with clinical outcome in 38 recipients.
Hospitalization time, peri- and postoperative complications, early
complications (primary graft dysfunction, infection), 30-day and one-year
survival, and forced expiratory volume in 1 s percentage of predicted normal
value (FEV1%) at one-year follow-up were analyzed.
Results
Findings in clinical reports and study reviews differed substantially, e.g.
regarding reported decompensation, edema, infection, and atelectasis. No
correlation was shown between imaging findings in clinical report or study
review and blood gas analyses in the lung donors compared to postoperative
outcome in recipients.
Conclusion
The interpretation of the mandatory chest radiograph in its present form does
not influence one-year outcome in lung transplantation. Larger imaging
studies or a change in clinical routine including computed tomography may
provide evidence for future guidelines.
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