selection criteria for lung transplantation in COPD patients

• related: COPD chronic obstructive pulmonary disease
• tags: #permanent

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The decision to refer should depend on the patient's life expectancy, quality of life, and patient preferences. In general, patients at high risk of dying in less than 2 years who have a high probability of 90-day postoperative survival are candidates. Patients with an elevated BODE index (5 or 6), resting hypoxemia, hypercapnia, an FEV1 of less than 25% of predicted, or significant exercise limitation despite medical therapy, smoking cessation, and participation in a pulmonary rehabilitation program may be referred for evaluation for lung transplantation. Transplantation improves quality of life, and the median life expectancy is 5.7 years.

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Links to this note

• COPD chronic obstructive pulmonary disease
  • selection criteria for lung transplantation in COPD patients

Footnotes

1. COPD Part III LVRS, Bipap, and Transplant ↩