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Table 3 Post-lung transplant outcomes

From: Lung transplantation for late-onset non-infectious chronic pulmonary complications of allogenic hematopoietic stem cell transplant

 

Allo-HSCT cohort (n = 19)

Matched controls (n = 38)

p value

ICU length of stay (LOS), days

 Median [IQR]

4.0 [2.0–25.5]

3.3 [2.0–5.3]

0.298

Post-LTx hospital LOS, days

 Median [IQR]

23.1 (17.0–101.0)

17.0 [13.8–26.0]

0.009

Biopsy proven acute cellular rejection1

 Any ACR grade

47.3% (9)

65.8% (25)

0.253

 ACR > A1B0

21.1% (4)

34.2% (13)

0.370

 ACR treatment in the 1st post-LTx year

31.6% (6)

52.6% (20)

0.165

Antibody mediated rejection

 Presence of dnDSA2

20% (4 of 15)

59% (22 of 37)

0.041

 Time to DSA

73.5 days

87.0 days

0.777

 Treatment for AMR

0%

21.1% (8)

0.042

CMV viraemia

 CMV D + /R- match

100% (3)

75% (6)

> 0.99

 CMV D-/R + or D + /R + match

30% (3)

27.8% (5)

 

BAL microbiology3

 Category 1 pathogens

63.2% (12)

76.3% (29)

0.356

 Category 2 pathogens

57.9% (11)

36.8% (14)

0.163

 Category 1 or 2

79.0% (15)

76.3% (29)

> 0.99

Severe infections4

 Percentage of patients

68.4% (13)

55.3% (21)

0.401

 Incidence of severe infections

0.67 severe infections per patient per year

0.36 severe infections per patient per year

0.0705

Chronic rejection

 CLAD-free at 3 years

78.0%

74.9%

0.721

 Median time to CLAD

4.98 years

Undefined

0.622

Graft survival

 1-year survival

100%

97.1%

0.473

 5-year survival

50.0%

68.5%

0.161

 10-year survival

25.0%

56.1%

0.059

CLAD-free survival

 3-year CLAD free survival

52.1%

71.1%

0.306

 Median CLAD free survival

4.26 years

Undefined

0.142

Re-Transplant

0%

7.9% (3)

0.544

  1. 1TBBx performed within the first 12 months following lung transplant
  2. 2Presence of dnDSA during the 1st year post LTx
  3. 3BAL performed in the 1st 24 months following LTx. Category 1 and 2 pathogens classified as clinically significant and usually clinically significant, respectively
  4. 4Requiring in-patient admission or home IV treatment arranged. Excluded from this analysis were peri-operative infections (i.e., occurring during admission following transplant surgery) and infections that were managed as an out-patient with PO medication alone (e.g., CMV viraemia, NTM and Aspergillosis)
  5. 5This p value was derived from comparing hazard ratio with the Andersen-Grill model