Venuta et al listed general criteria for considering a patient with a lung disease on the waiting list for lung transplantation. These can help identify a patient who has a reasonable chance of benefiting from the transplant. The authors are from the University of Rome "La Sapienza" in Rome.
Parameters:
(1) age in years
(2) life expectancy
(3) concurrent renal or hepatic disease
(4) malignancy
(5) ability to participate in a rehabilitation program
(6) ability to understand and comply with a complex medical program
(7) psychological state
(8) previous pleural procedures
|
Parameter |
Finding |
Points |
|
age in years |
< 50 years of age |
1 |
|
|
>= 50 years of age |
0 |
|
life expectancy |
>= 18 months |
1 |
|
|
< 18 months |
0 |
|
concurrent renal or hepatic disease |
nothing significant |
1 |
|
|
significant renal and/or hepatic disease |
0 |
|
malignancy |
none |
1 |
|
|
past history but no recurrence for > 5 years |
1 |
|
|
past history but followup <= 5 years |
0 |
|
|
active cancer |
0 |
|
ability to participate in a rehabilitation program |
ambulatory and able |
1 |
|
|
unable |
0 |
|
ability to understand and comply with a complex medical program |
able |
1 |
|
|
unable |
0 |
|
psychological state |
stable |
1 |
|
|
unstable |
0 |
|
previous pleural procedures |
acceptable |
1 |
|
|
unacceptable |
0 |
where:
• I am not sure what "acceptable" previous pleural procedure refers to. My guess is that the patient has had either no previous pleural procedures or has had procedures that will not interfere with the transplant surgery.
total number of desirable features =
= SUM(points for all 8 factors)
Interpretation:
• minimum number of desirable criteria present: 0
• maximum number of desirable criteria present: 8
• The ideal candidate for a lung transplant procedure should meet all 8 criteria.
Purpose: To determine if a patient with end-stage lung disease should be included in the transplant waiting list using the criteria of Venuta et al.
Specialty: Pulmonology, Surgery, general
Objective: criteria for diagnosis
ICD-10: Z94.2,
