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Table 1 Variables associated with postoperative pneumonia (POP) in HTx recipients

From: Predictive risk factors for postoperative pneumonia after heart transplantation

Parameters

Cohort

No POP

POP

P

N =

175

116

59

 

General characteristics

 Recipient age (years)

50 ± 13

53 [41, 60]

54 [47, 62]

0.140

 Male recipients (%)

129 (73)

85 (73)

44 (74)

1.000

 Prior diabetes mellitus (%)

25

12

13

0.04

 Prior cardiac surgery

54 (31)

36 (31)

18 (31)

1

 Etiology of heart failure

-Dilated cardiomyopathy

93 (42)

68 (59)

25 (42)

0.06

-Ischemic cardiomyopathy

53 (30)

31 (27)

22 (37)

0.17

-Other

29 (16)

17 (14)

12 (20)

0.39

 Standard allocation (%)

57 (32)

33 (28)

24 (40)

0.12

 National high-priority allocation (%)

118 (78)

83 (72)

35 (60)

0.12

  National high-priority allocation 1(%)

97 (55)

69 (59)

28 (47)

0.15

  National high-priority allocation 2 (%)

19 (11)

13 (7)

6 (11)

1

  National high-priority allocation 3 (%)

2 (1)

1 (1)

1 (2)

0.44

Pre-operative data

 VA-ECMO before HTx (%)

56 (32)

37 (32)

19 (32)

1.000

 Inotrope (%)

87 (54)

58 (50)

29 (49)

1

 vasoconstrictor (%)

10 (6)

5 (4.3)

5 (8.5)

0.31

 MV until the HTx (%)

15 (9)

4 (3.5)

11 (19.0)

0.002

 VAD or TAH before HTx

25 (14)

18 (16)

7 (12)

0.65

 Pre-operative infections (%)

64 (37)

43 (37.1)

21 (35.6)

0.98

 Allosensitization (%)

93 (54)

56 (48.3)

37 (62.7)

0.099

 Serum creatinine level (mg.dL−1)

1.2 ± 0.5

1.14 [0.88, 1.42]

1.16 [0.9, 1.51]

0.469

 Prothrombin time (%)

57 ± 18

62.00 [46, 73]

60 [46,69]

0.632

 Serum bilirubine level (mg/dL)

2.9 ± 1.9

2.2 [1.4, 3.8]

2.7 [1.4, 3.6]

0.705

Per operative data

 Cold ischemia time (min)

191 ± 53

210 [168, 233]

192[156, 216]

0.080

 ECC duration (min)

121 ± 39

110 [95,135]

110 [98, 142]

0.918

 Intraoperative transfusion (%)

133 (76)

82 (74.5)

51 (87.9)

0.067

Post-operative data

 VA-ECMO post-HTx (%)

114 (66)

68 (58.6)

47 (79.7)

0.009

 Revision surgery (%)

39 (22)

20 (17.5)

19 (33.3)

0.033

 SAP 2 score in ICU

43 (±15)

40 [30,50]

50 [34,58]

0.02

 SOFA score in ICU

6 (±3)

6[4,8]

6 [4,8]

0.70

 Post-HTx transfusion (%)

60 (34)

25 (21.7)

35 (59.3)

< 0.001

 Immunosuppressive therapy

­Plasmapheresis (%)

69 (39)

40 (34.5)

29 (49.2)

0.087

­Polyvalent Immunoglobulin(%)

85 (48)

54 (46.6)

31 (53.4)

0.486

­Anti-thymocyte globulin (%)

169 (95)

111 (95)

56 (94.9)

1.000

­Basiliximab (%)

6 (5)

5 (4.3)

1 (1.7)

0.665

  1. Qualitative data are expressed in percentage and qualitative data are expressed on average with standard derivation for the global cohort and on median with 1st and 3th quartile for recipients with and without post-operative pneumonia. POP Post-operative pneumonia, VA ECMO Veno -arterial Extracorporeal Membrane Oxygenation, HTx Heart transplantation, MV Mechanical ventilation, VAD Ventricular assisted devices, TAH Total artificial heart, ECC Extracorporeal circulation, SAP 2 score Simplified Acute Physiology 2 score, SOFA score Sequential Organ Failure Assessment score, ICU Intensive care unit