Urgent lung allocation system in the Scandiatransplant countries

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Standard

Urgent lung allocation system in the Scandiatransplant countries. / Auråen, Henrik; Schultz, Hans Henrik L.; Hämmäinen, Pekka; Riise, Gerdt C.; Larsson, Hillevi; Hansson, Lennart; Dellgren, Göran; Perch, Michael; Geiran, Odd; Fiane, Arnt E.; Iversen, Martin; Holm, Are Martin.

I: Journal of Heart and Lung Transplantation, Vol. 37, Nr. 12, 12.2018, s. 1403-1409.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Harvard

Auråen, H, Schultz, HHL, Hämmäinen, P, Riise, GC, Larsson, H, Hansson, L, Dellgren, G, Perch, M, Geiran, O, Fiane, AE, Iversen, M & Holm, AM 2018, 'Urgent lung allocation system in the Scandiatransplant countries', Journal of Heart and Lung Transplantation, vol. 37, nr. 12, s. 1403-1409. https://doi.org/10.1016/j.healun.2018.08.002

APA

Auråen, H., Schultz, H. H. L., Hämmäinen, P., Riise, G. C., Larsson, H., Hansson, L., ... Holm, A. M. (2018). Urgent lung allocation system in the Scandiatransplant countries. Journal of Heart and Lung Transplantation, 37(12), 1403-1409. https://doi.org/10.1016/j.healun.2018.08.002

CBE

Auråen H, Schultz HHL, Hämmäinen P, Riise GC, Larsson H, Hansson L, Dellgren G, Perch M, Geiran O, Fiane AE, Iversen M, Holm AM. 2018. Urgent lung allocation system in the Scandiatransplant countries. Journal of Heart and Lung Transplantation. 37(12):1403-1409. https://doi.org/10.1016/j.healun.2018.08.002

MLA

Vancouver

Auråen H, Schultz HHL, Hämmäinen P, Riise GC, Larsson H, Hansson L et al. Urgent lung allocation system in the Scandiatransplant countries. Journal of Heart and Lung Transplantation. 2018 dec;37(12):1403-1409. https://doi.org/10.1016/j.healun.2018.08.002

Author

Auråen, Henrik ; Schultz, Hans Henrik L. ; Hämmäinen, Pekka ; Riise, Gerdt C. ; Larsson, Hillevi ; Hansson, Lennart ; Dellgren, Göran ; Perch, Michael ; Geiran, Odd ; Fiane, Arnt E. ; Iversen, Martin ; Holm, Are Martin. / Urgent lung allocation system in the Scandiatransplant countries. I: Journal of Heart and Lung Transplantation. 2018 ; Vol. 37, Nr. 12. s. 1403-1409.

RIS

TY - JOUR

T1 - Urgent lung allocation system in the Scandiatransplant countries

AU - Auråen, Henrik

AU - Schultz, Hans Henrik L.

AU - Hämmäinen, Pekka

AU - Riise, Gerdt C.

AU - Larsson, Hillevi

AU - Hansson, Lennart

AU - Dellgren, Göran

AU - Perch, Michael

AU - Geiran, Odd

AU - Fiane, Arnt E.

AU - Iversen, Martin

AU - Holm, Are Martin

PY - 2018/12

Y1 - 2018/12

N2 - 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.

AB - 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.

KW - allocation

KW - lung

KW - scandiatransplant

KW - transplantation

KW - urgency

U2 - 10.1016/j.healun.2018.08.002

DO - 10.1016/j.healun.2018.08.002

M3 - Article

VL - 37

SP - 1403

EP - 1409

JO - The Journal of Heart and Lung Transplantation

JF - The Journal of Heart and Lung Transplantation

SN - 1557-3117

IS - 12

ER -