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Physical Assessment of the Respiratory Tract I: Health History01:28

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Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
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Pulmonary Function Tests01:25

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Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
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American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2022
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Conducting Respiratory Oscillometry in an Outpatient Setting
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OPTN/SRTR 2019 Annual Data Report: Lung.

M Valapour1,2, C J Lehr2, M A Skeans1

  • 1Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|February 17, 2021
PubMed
Summary
This summary is machine-generated.

Lung transplant numbers are rising, reducing waitlist deaths. Optimizing organ use and addressing regional disparities can further improve outcomes for lung transplant candidates.

Keywords:
End-stage lung diseaseLASlung allocation scorelung transplantorgan allocationrevised lung allocation scoretransplant outcomes

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Area of Science:

  • Medicine
  • Transplantation
  • Pulmonology

Background:

  • Lung transplantation is a critical treatment for end-stage lung disease.
  • The procedure has seen increasing utilization and improving survival rates.

Purpose of the Study:

  • To analyze trends in lung transplant volume, waitlist dynamics, organ utilization, and posttransplant survival.
  • To identify areas for improvement in lung allocation and organ use.

Main Methods:

  • Analysis of national lung transplant data from 2019.
  • Examination of candidate listing trends, donor availability, organ discard rates, time to transplant, and survival outcomes.

Main Results:

  • Lung transplants reached an all-time high in 2019, with decreased waitlist mortality.
  • Despite increased organ availability, 6.4% of recovered lungs were not transplanted.
  • Time to transplant shortened, but regional allocation inequities persisted.
  • Posttransplant survival rates showed incremental gains: 1-year (88.8%), 3-year (74.4%), 5-year (59.2%), 10-year (33.1%).

Conclusions:

  • Increasing lung transplant volume and donor numbers are positive trends.
  • Strategies to optimize unused donor lungs could further reduce waitlist times.
  • Addressing regional disparities in lung allocation remains crucial for equitable access to transplantation.