Table 3.
Outcome Comparisons of Lung Transplant Admissions from Two Temporal Cohorts
| Pre-LAS (2000–2005) |
Post-LAS (2006–2011) |
P Value | OR | 95% CI | |||
|---|---|---|---|---|---|---|---|
| n = 6,361 | n = 9,922 | ||||||
| Total charges, 2011
dollars |
$407,489 |
±$28,360 |
$569,942 |
±$53,229 |
<0.0001 |
|
|
| Length of stay, d | 22.1 | ±1.4 | 26.6 | ±2.0 | <0.0001 | ||
| Length of stay ≥30 d | 1,151 | (18.1%) | 2,598 | (26.2%) | <0.0001 | 1.61 | (1.35–1.91) |
| Length of stay ≥60 d | 356 | (5.6%) | 877 | (8.8%) | <0.0001 | 1.64 | (1.23–2.17) |
| Charges per day, 2011 dollars | $29,330 | ±$2,764 | $29,788 | ±$1,431 | <0.0001 | ||
| Hemodialysis during admission | 173 | (2.7%) | 261 | (2.6%) | 0.91 | 0.97 | (0.63–1.01) |
| Tracheostomy performed during admission | 652 | (10.3%) | 1,463 | (14.8%) | <0.0001 | 1.52 | (1.22–1.89) |
| Post-transplant ECMO | 148 | (2.3%) | 528 | (5.3%) | <0.0001 | 2.35 | (1.56–3.55) |
| In-hospital death | 539 | (8.5%) | 621 | (6.3%) | 0.018 | 0.72 | (0.55–0.94) |
| Discharge disposition* | <0.0001 | ||||||
| Home | 3,672 | (63.1%) | 4,865 | (52.3%) | |||
| Home with nursing | 1,676 | (28.8%) | 2,834 | (30.5%) | |||
| Skilled nursing facility/rehab hospital | 474 | (8.1%) | 1,602 | (17.2%) | |||
| Discharge to other than home† | 2,689 | (42.3%) | 5,057 | (51.0%) | <0.0001 | 1.42 | (1.23–1.63) |
Definition of abbreviations: CI = confidence interval; ECMO = extracorporeal membrane oxygenation; LAS = lung allocation score; OR = odds ratio.
*
Of those alive at discharge.
†
Of all admissions; includes in-hospital death, home nursing, rehabilitation, and skilled nursing facility discharges.