Monitoring Survival Following Lung Transplantation with Inclusion of Unaccounted Risks

Lung transplant (LTx) survival and quality of life have been steadily improving, partially from changes in candidate selection for transplantation. There are well-known high-risk factors that lead to poor LTx outcomes, which may be referred as ‘accounted’ risks. However, there also other ‘unaccounted’ risks not included the existing model expected help programs resource allocation. We performed a retrospective cohort study all recipients over age 18 at UC San Diego Health between June 2019 March 2021. Patient’s were identified low, moderate, or high risk 4 discrete categories: Medical, Surgical, Psychosocial Nutritional. The entered into software tool calculated an 'unaccounted' adjusted observed ratio (O:E), using calculations mirror Scientific Registry Transplant Recipients (SRTR) risk-calculation methodology same six month intervals, termed Program-Specific Report (PSR) cycles. During period, 65 patients underwent lung Of those, 25 had least one risk. risk-adjusted O:E was 1.54 while 0.46. is projected increase 4.72 0.43 after two more PSR Having knowledge ‘at risk’ identifying with helps allocate resources productive fashion continue achieve level outcomes meet standards.