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Editorials |

ICU Admission of the Lung Transplant Recipient Following Hospital Discharge

Malek G. Massad; Jacques Kpodonu; H. Ari Jaffe
Author and Funding Information

Affiliations: Chicago, IL
 ,  Chicago, IL
 ,  Chicago, IL
 ,  Dr. Massad is Associate Professor of Surgery and Surgical Director of Thoracic Organ Transplantation, Dr. Kpodonu is a cardiothoracic surgery fellow in training, and Dr. Jaffe is Associate Professor of Medicine and Medical Director of the Lung Transplantation Program, The University of Illinois at Chicago.

Correspondence to: Malek G. Massad, MD, FCCP, The University of Illinois at Chicago, Division of Cardiothoracic Surgery, 840 S. Wood St, CSB Suite 417 (MC 958), Chicago, IL 60612; e-mail: mmassad@uic.edu



Chest. 2004;125(3):813-815. doi:10.1378/chest.125.3.813
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In this issue of CHEST (see page 1040), Hadjiliadis and associates report on the outcome of lung transplant recipients who required admission to medical ICUs (MICUs) after their initial discharge following transplantation. Fifty-one patients who underwent lung transplantation at Duke University after 1999 required admission to the MICU after they were discharged. Of those 51 patients, 27 required intubation and mechanical ventilation, and 16 of those 27 patients (59%) died during that admission. The study emphasizes the important observation that admission to the MICU after initial discharge of a lung transplant recipient is associated with a high hospital mortality (37%) and, more importantly, that the need of these patients for mechanical ventilation carries more than a one in two chance of death prior to discharge from the hospital. A careful look at the Kaplan-Meier survival statistics for all lung transplant patients requiring readmission to a MICU reveals that the actuarial 1-year survival rate falls from an expected 77% to 43.1%.1

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