دورية أكاديمية

Trends and Outcomes in Lung Transplantation in Patients with and without Idiopathic Pulmonary Fibrosis in Spain during the Period 2016–2020.

التفاصيل البيبلوغرافية
العنوان: Trends and Outcomes in Lung Transplantation in Patients with and without Idiopathic Pulmonary Fibrosis in Spain during the Period 2016–2020.
المؤلفون: López-Muñiz Ballesteros, Belén, López de Andrés, Ana, Jiménez-García, Rodrigo, Zamorano-León, Jose J., Carabantes-Alarcón, David, Cuadrado-Corrales, Natividad, Del-Barrio, José L., Pérez-Farinós, José Napoleón, De-Miguel-Díez, Javier
بيانات النشر: MDPI
سنة النشر: 2023
المجموعة: RIUMA - Repositorio Institucional de la Universidad de Málaga
مصطلحات موضوعية: Fibrosis pulmonar, Pulmón - Trasplante, COVID-19 pandemic, Lung transplant, Idiopathic pulmonary fibrosis, Incidence, Complications, In-hospital mortality
الوصف: Background: This paper aims to assess temporal trends (2016–2020) in incidence, patient’s characteristics, complications, length of hospital stay (LOHS) and in-hospital mortality (IHM) among patients with and without idiopathic pulmonary fibrosis (IPF) undergoing lung transplantation (LTx). We also analyse the effect of the COVID-19 pandemic on LTx in these populations. (2) Methods: A retrospective, population-based observational study was conducted using the Spanish National Hospital Discharge Database. Multivariable adjustment was conducted with logistic regression to analyse the IHM. (3) Results: We identified 1777 admissions for LTx during the study period, of which 573 (32.2%) were performed in patients with IPF. The number of hospital admissions for LTx rose from 2016 to 2020, both in patients with and without IPF, but a marked reduction was observed from year 2019 to year 2020. Over time, the proportion of single LTx decreased and bilateral LTx increased significantly in both groups. The incidence of LTx complications increased significantly over time along with the increase in the incidence of IPF. No significant differences in the incidence of complications or in the IHM between patients with and without IPF were found. Suffering any complication of the LTx and pulmonary hypertension were conditions positively associated with IHM in patients with and without IPF. The IHM remained stable from 2016 to 2020 in both study populations and was not affected by the COVID pandemic. (4) Conclusions: Patients with IPF account for almost a third of all lung transplants. The number of LTx increased over time in patients with and without IPF, but a marked reduction was observed from 2019 to 2020. Although the proportion of LTx complications increased significantly over time in both groups, the IHM did not change. IPF was not associated with increased complications or IHM after LTx. ; Partial funding for open access charge: Universidad de Málaga
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: López-Muñiz Ballesteros B, Lopez-de-Andres A, Jimenez-Garcia R, Zamorano-Leon JJ, Carabantes-Alarcon D, Cuadrado-Corrales N, Del-Barrio JL, Perez-Farinos N, De Miguel-Díez J. Trends and Outcomes in Lung Transplantation in Patients with and without Idiopathic Pulmonary Fibrosis in Spain during the Period 2016–2020. Healthcare. 2023; 11(11):1534. https://doi.org/10.3390/healthcare11111534Test; https://hdl.handle.net/10630/27132Test
DOI: 10.3390/healthcare11111534
الإتاحة: https://doi.org/10.3390/healthcare11111534Test
https://hdl.handle.net/10630/27132Test
حقوق: info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by/4.0Test/ ; Atribución 4.0 Internacional
رقم الانضمام: edsbas.2B6F7CE6
قاعدة البيانات: BASE