지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 992 - 997 (6page)
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초록· 키워드
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Purpose: We investigated the characteristics of lung allocation and outcomes of lung transplant (LTx) according to the Korean urgencystatus. Materials and Methods: LTx registration in the Korean Organ Transplantation Registry (KOTRY) began in 2015. From 2015 toJune 2017, 86 patients who received LTx were enrolled in KOTRY. After excluding one patient who received a heart-lung transplant,85 were included. Subjects were analyzed according to the Korean urgency status. Results: Except for Status 0, urgency status was classified based on partial pressure of oxygen in arterial blood gas analysis andfunctional status in 52 patients (93%). The wait time for lung allograft was well-stratified by urgency (Status 0, 46.5±59.2 days; Status1, 104.4±98.2 days; Status 2 or 3, 132.2±118.4 days, p=0.009). Status 0 was associated with increased operative times and higherintraoperative blood transfusion. Status 0 was associated with prolonged extracorporeal membrane oxygenation use, postoperativebleeding, and longer mechanical ventilation after operation. Survival of Status 0 patients seemed worse than that of non-Status0 patients, although differences were not significant. Conclusion: The Korean urgency classification for LTx is determined by using very limited parameters and may not be a true reflectionof urgency. Status 0 patients seem to have poor outcomes compared to the other urgency status patients, despite havingthe highest priority for donor lungs. Further multi-center and nationwide studies are needed to revise the lung allocation systemto reflect true urgency and provide the best benefit of lung transplantation.
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참고문헌 (13)
참고문헌 신청
Kotloff RM / 2011 / Lung transplantation / Am J Respir Crit Care Med 184:159~171
Haam SJ / 2008 / An overview of lung transplantation in Korea / Transplant Proc 40:2620~2622
Hong SB / 2014 / A cluster of lung injury associated with home humidifier use : clinical, radiological and pathological description of a new syndrome / Thorax 69:694~702
Korean Network for Organ Sharing (KONOS) / Organ transplantation statistics in 2017
Egan TM / 2006 / Development of the new lung allocation system in the United States / Am J Transplant 6(5 Pt 2):1212~1227
Haam SJ / 2008 / An overview of lung transplantation in Korea / Transplant Proc 40:2620~2622
Hong SB / 2014 / A cluster of lung injury associated with home humidifier use : clinical, radiological and pathological description of a new syndrome / Thorax 69:694~702
Korean Network for Organ Sharing (KONOS) / Organ transplantation statistics in 2017
Egan TM / 2006 / Development of the new lung allocation system in the United States / Am J Transplant 6(5 Pt 2):1212~1227
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