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Impact of donor chest radiography on clinical outcome after lung transplantation

Bozovic, Gracijela LU ; Adlercreutz, Catharina ; Björkman-burtscher, Isabella M LU ; Reinstrup, Peter LU ; Ingemansson, Richard LU ; Skansebo, Elin and Geijer, Mats LU (2018) In Acta Radiologica Open 7(6).
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,... (More)
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. (Less)
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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Radiologica Open
volume
7
issue
6
pages
7 pages
publisher
SAGE Publications
external identifiers
  • pmid:29977606
ISSN
2058-4601
DOI
10.1177/2058460118781419
language
English
LU publication?
yes
id
e21d7a30-0fe6-490c-ba91-4d4c561e05d7
date added to LUP
2019-06-19 13:51:49
date last changed
2020-01-28 14:13:23
@article{e21d7a30-0fe6-490c-ba91-4d4c561e05d7,
  abstract     = {{Background<br/>Organ donation guidelines recommend a “clear” conventional bedside chest radiograph before lung transplantation despite only moderate accuracy for cardiopulmonary abnormalities.<br/>Purpose<br/>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.<br/>Material and Methods<br/>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.<br/>Results<br/>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.<br/>Conclusion<br/>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.}},
  author       = {{Bozovic, Gracijela and Adlercreutz, Catharina and Björkman-burtscher, Isabella M and Reinstrup, Peter and Ingemansson, Richard and Skansebo, Elin and Geijer, Mats}},
  issn         = {{2058-4601}},
  language     = {{eng}},
  month        = {{05}},
  number       = {{6}},
  publisher    = {{SAGE Publications}},
  series       = {{Acta Radiologica Open}},
  title        = {{Impact of donor chest radiography on clinical outcome after lung transplantation}},
  url          = {{http://dx.doi.org/10.1177/2058460118781419}},
  doi          = {{10.1177/2058460118781419}},
  volume       = {{7}},
  year         = {{2018}},
}