Impact of unilateral diaphragm elevation on postoperative outcomes in bilateral lung transplantation – a retrospective single‐center study Article Swipe
Helge Draeger
,
J. Salman
,
K. Aburahma
,
Lena S. Becker
,
T. Siemeni
,
Dietmar Boethig
,
W. Sommer
,
M. Avşar
,
Dmitry Bobylev
,
Nicolaus Schwerk
,
Carsten Müller
,
Mark Greer
,
Jens Gottlieb
,
Tobias Welte
,
Marius M. Hoeper
,
Jan B. Hinrichs
,
I. Tudorache
,
C. Kühn
,
Axel Haverich
,
G. Warnecke
,
F. Ius
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/tri.13812
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/tri.13812
This study evaluated the impact of unilateral diaphragm elevation following bilateral lung transplantation on postoperative course. Patient data for all lung transplantations performed at our institution between 01/2010 and 12/2019 were reviewed. Presence of right or left diaphragm elevation was retrospectively evaluated using serial chest X-rays performed while patients were standing and breathing spontaneously. Right elevation was defined by a > 40 mm difference between right and left diaphragmatic height. Left elevation was present if the left diaphragm was at the same height or higher than the right diaphragm. In total, 1093/1213 (90%) lung transplant recipients were included. Of these, 255 (23%) patients exhibited radiologic evidence of diaphragm elevation (right, 55%; left 45%; permanent, 62%). Postoperative course did not differ between groups. Forced expiratory volume in 1 second, forced vital capacity and total lung capacity were lower at 1-year follow-up in patients with permanent than in patients with transient or absent diaphragmatic elevation (P = 0.038, P < 0.001, P = 0.002, respectively). Graft survival did not differ between these groups (P = 0.597). Radiologic evidence of diaphragm elevation was found in 23% of our lung transplant recipients. While lung function tests were worse in patients with permanent elevation, diaphragm elevation did not have any relevant impact on outcomes.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/tri.13812
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tri.13812
- OA Status
- hybrid
- Cited By
- 12
- References
- 40
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3119149963
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3119149963Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/tri.13812Digital Object Identifier
- Title
-
Impact of unilateral diaphragm elevation on postoperative outcomes in bilateral lung transplantation – a retrospective single‐center studyWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-01-04Full publication date if available
- Authors
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Helge Draeger, J. Salman, K. Aburahma, Lena S. Becker, T. Siemeni, Dietmar Boethig, W. Sommer, M. Avşar, Dmitry Bobylev, Nicolaus Schwerk, Carsten Müller, Mark Greer, Jens Gottlieb, Tobias Welte, Marius M. Hoeper, Jan B. Hinrichs, I. Tudorache, C. Kühn, Axel Haverich, G. Warnecke, F. IusList of authors in order
- Landing page
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https://doi.org/10.1111/tri.13812Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tri.13812Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tri.13812Direct OA link when available
- Concepts
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Medicine, Diaphragm (acoustics), Diaphragmatic breathing, Lung, Surgery, Lung transplantation, Transplantation, Lung volumes, Single Center, Retrospective cohort study, Internal medicine, Pathology, Physics, Acoustics, Alternative medicine, LoudspeakerTop concepts (fields/topics) attached by OpenAlex
- Cited by
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12Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 3, 2023: 4, 2022: 2, 2021: 1Per-year citation counts (last 5 years)
- References (count)
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40Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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