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Urgent lung allocat...
Urgent lung allocation system in the Scandiatransplant countries
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- Auråen, Henrik (författare)
- Oslo university hospital,University of Oslo
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- Schultz, Hans Henrik L. (författare)
- Copenhagen University Hospital
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- Hämmäinen, Pekka (författare)
- Helsinki University Central Hospital
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- Riise, Gerdt C. (författare)
- Sahlgrenska University Hospital
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- Larsson, Hillevi (författare)
- Lund University,Lunds universitet,Institutionen för kliniska vetenskaper, Malmö,Medicinska fakulteten,Department of Clinical Sciences, Malmö,Faculty of Medicine,Skåne University Hospital
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- Hansson, Lennart (författare)
- Lund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Dellgren, Göran (författare)
- Sahlgrenska University Hospital
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- Perch, Michael (författare)
- Copenhagen University Hospital
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- Geiran, Odd (författare)
- Norwegian Radium Hospital,University of Oslo
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- Fiane, Arnt E. (författare)
- University of Oslo,Norwegian Radium Hospital
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- Iversen, Martin (författare)
- Copenhagen University Hospital,University of Copenhagen
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- Holm, Are Martin (författare)
- Oslo university hospital,University of Oslo
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(creator_code:org_t)
- Elsevier BV, 2018
- 2018
- Engelska.
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Ingår i: Journal of Heart and Lung Transplantation. - : Elsevier BV. - 1053-2498. ; 37:12, s. 1403-1409
- Relaterad länk:
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http://dx.doi.org/10...
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http://www.jhltonlin...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- BACKGROUND: Throughout the world, the scarcity of donor organs makes optimal allocation systems necessary. In the Scandiatransplant countries, organs for lung transplantation are allocated nationally. To ensure shorter wait time for critically ill patients, the Scandiatransplant urgent lung allocation system (ScULAS) was introduced in 2009, giving supranational priority to patients considered urgent. There were no pre-defined criteria for listing a patient as urgent, but each center was granted only 3 urgent calls per year. This study aims to explore the characteristics and outcome of patients listed as urgent, assess changes associated with the implementation of ScULAS, and describe how the system was utilized by the member centers. METHODS: All patients listed for lung transplantation at the 5 Scandiatransplant centers 5 years before and after implementation of ScULAS were included. RESULTS: After implementation, 8.3% of all listed patients received urgent status, of whom 81% were transplanted within 4 weeks. Patients listed as urgent were younger, more commonly had suppurative lung disease, and were more often on life support compared with patients without urgent status. For patients listed as urgent, post-transplant graft survival was inferior at 30 and 90 days. Although there were no pre-defined criteria for urgent listing, the system was not utilized at its maximum. CONCLUSIONS: ScULAS rapidly allocated organs to patients considered urgent. These patients were younger and more often had suppurative lung disease. Patients with urgent status had inferior short-term outcome, plausibly due to the higher proportion on life support before transplantation.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- allocation
- lung
- scandiatransplant
- transplantation
- urgency
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Auråen, Henrik
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Schultz, Hans He ...
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Hämmäinen, Pekka
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Riise, Gerdt C.
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Larsson, Hillevi
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Hansson, Lennart
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visa fler...
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Dellgren, Göran
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Perch, Michael
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Geiran, Odd
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Fiane, Arnt E.
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Iversen, Martin
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Holm, Are Martin
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visa färre...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
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Journal of Heart ...
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Lunds universitet