Research Article

Lung Transplantation in Patients with High Lung Allocation Scores in the US: Evidence for the Need to Evaluate Score Specific Outcomes

Table 1

Characteristics of patients at baseline, stratified by quartiles of LAS.

Recipient-related Quartile 1Quartile 2Quartile 3 Quartile 4 value
(26.3–34.5)(34.6–39.3)(39.4–48.6)(48.7–95.7)

Age, years (SD)57.3 (10.0)53.3 (13.9)53.8 (13.8)54.6 (13.5)<0.001
Male, (%)1,357 (52.7)1,521 (59.1)1,602 (62.2)1,581 (61.4)<0.001
White, (%)2,340 (90.8)2,198 (85.3)2,076 (80.6)2,025 (78.6)<0.001
Body mass index, Kg/m2 (SD)25.2 (4.3)24.5 (4.8)25.2 (4.7)25.2 (4.8)
Diabetes, (%)240 (9.3)450 (17.5)527 (20.6)608 (23.6)<0.001
Diagnosis
 Idiopathic pulmonary fibrosis153 (5.9)741 (28.8)1,297 (50.3)1,531 (59.4)<0.001
 COPD/emphysema1,800 (69.8)760 (29.5)185 (7.2)100 (3.9)
 Cystic fibrosis106 (3.3)439 (17.0)404 (15.7)307 (11.9)
 Pulmonary hypertension86 (16.7)75 (2.9)90 (3.5)44 (1.7)
 Other431 (16.7)561 (21.8)600 (23.3)594 (23.1)
 Mechanical ventilator, (%)58 (2.3)70 (2.7)71 (2.8)382 (14.8)<0.001
 ECMO support (%)4 (0.2)7 (0.3)7 (0.3)111 (4.3)<0.001
GFR
 GFR <60212 (8.2)194 (7.5)188 (7.3)201 (7.8)<0.001
 60–90965 (37.5)911 (35.4)894 (34.7)747 (29.0)
 >901,399 (54.3)1,471 (57.1)1,494 (58.0)1,628 (63.2)
 Chronic steroid use, (%)976 (37.9)1,140 (44.3)1,273 (49.4)1,436 (55.8)<0.001
Donor-related
 Age, years (SD)34.6 (14.3)33.9 (14.3)33.8 (14.1)34.4 (14.2)0.13
Transplant related
 Admission to ICU, (%)52 (2.0)68 (2.6)86 (3.3)566 (22.0)<0.001
 Graft ischemic time, hours (SD)4.8 (1.7)5.0 (1.6)5.2 (1.7)5.3 (1.7)<0.001
 Waiting time, days (IQR)104 (33–310)97 (29–269)64 (22–205)36 (10–130)<0.001
 Bilateral transplant (%)1,581 (61.4)1,679 (65.2)1,662 (65.5)1,833 (71.2)<0.001

LAS: lung allocation score, : number, SD: standard deviation, BMI: body mass index, COPD: chronic obstructive pulmonary disease, ECMO: extracorporeal membrane oxygenation, GFR: glomerular filtration rate, and ICU: intensive care unit.