TY - JOUR AU - Lee, Su Hwan AU - Park, Moo Suk AU - Song, Joo Han AU - Kim, Young Sam AU - Lee, Jin Gu AU - Paik, Hyo Chae AU - Kim, Song Yee PY - 2017 TI - Perioperative factors associated with 1-year mortality after lung transplantation: a single-center experience in Korea JF - Journal of Thoracic Disease; Vol 9, No 10 (October 31, 2017): Journal of Thoracic Disease Y2 - 2017 KW - N2 - Background: Most studies about the risk factors of 1-year mortality after lung transplantation were performed on non-Asians. This study aimed to evaluate the perioperative factors related to the 1-year mortality after lung transplantation in Korea. Methods: Sixty-eight consecutive patients who underwent lung transplantation without preoperative extracorporeal membrane oxygenation treatment at 1 tertiary hospital in South Korea between October 24, 2012, and October 16, 2015, were analyzed retrospectively. Results: Forty-four patients (64.7%) lived for >1 year after lung transplantation. The median age of all patients was 55 years (range, 16–75 years), and men accounted for 57.4%. The major cause of lung transplantation was idiopathic pulmonary fibrosis (48.5%); the other causes were interstitial lung disease related to connective tissue disease (17.6%) and bronchiolitis obliterans after stem cell transplantation (14.7%). In univariate analysis, higher median age (52 vs . 61.5 years, P vs . 79.2%, P=0.007), lower preoperative albumin level ( vs . 45.8%, P=0.049), need for renal replacement therapy (RRT) after surgery (4.5% vs . 37.5%, P=0.001), and postoperative delta neutrophil index (DNI) >5.5 higher than the preoperative DNI (22.7% vs . 70.8%, P Conclusions: Recipients with advanced age should be carefully selected, and patients who need RRT or with increased DNI after transplantation should be managed accordingly. UR - https://jtd.amegroups.org/article/view/15878