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Factors affecting discharge destination following lung transplantation
Min Tang1, Nadir Mawji1, Samantha Chung1
1Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Clinical Transplantation
|April 29, 2015
Summary
Most lung transplant recipients go home, but some need inpatient rehabilitation. Clinical factors like age and pre-transplant condition predict which lung transplant patients require further rehabilitation.
Area of Science:
- Medical research
- Pulmonary medicine
- Transplant surgery
Background:
- Lung transplant (LT) recipients may need inpatient rehabilitation before returning home.
- Understanding discharge destinations is crucial for post-transplant care planning.
Purpose of the Study:
- To describe discharge destinations after lung transplantation.
- To compare patient characteristics across different discharge destinations.
- To identify predictors of discharge destination for lung transplant recipients.
Main Methods:
- Retrospective analysis of 243 lung transplant recipients discharged between 2006 and 2009.
- Comparison of demographics, clinical factors, and healthcare utilization based on discharge destination.
- Statistical analysis to identify differences and predictors.
Main Results:
- 81% of recipients were discharged home, 17% to inpatient rehabilitation, and 2% to other facilities.
- Significant differences were observed in age, pulmonary diagnosis, pre-transplant 6-minute walk distance (6 MWD), mechanical ventilation, priority status, ICU and total length of stay (LOS), and pre-transplant rehabilitation.
- Age, pre-transplant 6 MWD, pre-transplant mechanical ventilation, and total LOS independently predicted discharge destination.
Conclusions:
- Clinical factors can predict the need for inpatient rehabilitation in lung transplant recipients.
- Early identification of at-risk patients can improve discharge planning and care continuity.
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