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Not yet recruitingNCT06922916Updated Apr 22, 2025

Perioperative Risk Factors Related to the Prognosis of Lung Transplantation: A Retrospective Study

An observational study in COPD, Interstitial Pneumonia and Bronchiectasis, sponsored by Zhejiang University. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-22.

Sponsored by Zhejiang University · Observational

From the registry’s dates

  • Primary completion was expected by Apr 2026, 7 months ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
250
Ages
18 Years and older
Sex
All
01

Study summary

This study analyzes patients who underwent lung transplantation at the First Affiliated Hospital of Zhejiang University from 2017 to 2024, focusing on anesthesia's impact on post-op results. It gathers patient data from hospital and Mediston systems, with main focus on in-hospital complications and secondary focus on ICU stay, post-op hospitalization, mortality, and intubation time. The research aims to deepen understanding of anesthetic management's role in lung transplant outcomes and guide improvements in perioperative anesthesia protocols.

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Conditions studied

  • COPD
  • Interstitial Pneumonia
  • Bronchiectasis
  • Respiratory Failure
  • Idiopathic Pulmonary Fibrosis (IPF)
  • Silicosis
  • Pulmonary Tuberculosis
  • Pulmonary Hypertension
  • Pulmonary Heart Disease

Keywords

  • lung transplantatipn
  • Perioperative-related risks
  • Mortality
  • In-hospital complications
  • Prognosis
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In context

Pulmonary Disease, Chronic Obstructive

5,520 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 856 are open to participants now.

This study's planned enrollment of 250 is above the median of 158 across 1,497 observational studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

Zhejiang University is the lead sponsor of 356 studies on the registry; 166 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients who underwent lung transplantation at the First Affiliated Hospital of Zhejiang University between January 2017 and October 2024

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age >18 years at time of transplantation
  • Received single or bilateral lung transplantation

Exclusion criteria

Exclusion Criteria:

  • Re-transplantation
  • Multi-organ transplantation
  • Autotransplantation
  • Incomplete medical records: Recipients with >20% missing essential data elements in any of these categories:Preoperative baseline characteristics; Intraoperative parameters;Postoperative outcome measures
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
250 participants (estimated)
Patient registry
No

Groups and cohorts

  • Lung transplantation group

    In this group, we collected perioperative clinical data and analyzed risk factors associated with patient outcomes.

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What researchers measure

Primary outcomes

  1. In-hospital adverse events

    In-hospital adverse events were defined as post-transplant complications occurring prior to discharge, such as: Grade 3 PGD, respiratory infections, stroke, cardiac events, AKI, or liver impairment.

    Time frame: Collect data for an expected average about 2 hours

Secondary outcomes

  1. ICU stay

    The ICU stay (days) was calculated from the time of ICU admission after surgery completion to actual discharge from the intensive care unit

    Time frame: Collect data for an expected average about 2 hours

  2. Postoperative hospital stay

    Postoperative hospital(days)stay after lung transplantation

    Time frame: Collect data for an expected average about 2 hours

  3. In-hospital mortality

    The proportion of patients who died during the initial hospitalization period following lung transplantation surgery

    Time frame: Collect data for an expected average about 2 hours

  4. 30-day postoperative mortality

    Number of deaths within 30 days post-transplant) / (Total number of lung transplant recipients) × 100%;

    Time frame: Collect data for an expected average about 2 hours

  5. 90-day postoperative mortality

    Number of deaths within 90 days post-transplant) / (Total number of lung transplant recipients) × 100%

    Time frame: Collect data for an expected average about 2 hours

  6. The duration of endotracheal intubation

    Duration of intubation should be recorded from surgery end-time to extubation

    Time frame: Collect data for an expected average about 2 hours

Other outcomes

  1. Grade 3 Primary Graft Dysfunction (PGD)

    PGD3:A ratio of arterial oxygen partial pressure to fraction of inspired oxygen (PaO₂/FiO₂) \< 200 mmHg with bilateral infiltrates on chest radiograph, or Requirement for extracorporeal life support (ECLS) within 72 hours postoperatively, or use of inhaled pulmonary vasodilators for \>48 hours during mechanical ventilation.

    Time frame: Collect data for an expected average about 2 hours

  2. Pulmonary Infection

    Radiologically confirmed by a staff radiologist as new or progressive pulmonary infiltrates on: Chest X-ray or Computed tomography (CT) scan

    Time frame: Collect data for an expected average about 2 hours

  3. Acute Kidney Injury

    A rise in serum creatinine \>120 μmol/L

    Time frame: Collect data for an expected average about 2 hours

  4. Cardiovascular Events

    Acute myocardial infarction; heart failure;Cardiovascular hemorrhage;Clinically significant arrhythmias;Conduction system disorders;Cardiac arrest;Refractory hypotension due to cardiogenic sock.

    Time frame: Collect data for an expected average about 2 hours

  5. Hepatic Dysfunction

    Aspartate aminotransferase (AST) \>34 or Alanine aminotransferase (ALT) \>40 U/L;

    Time frame: Collect data for an expected average about 2 hours

  6. Cerebral Infarction

    Diagnosed by staff radiologists as new or progressive ischemic lesions on CT or MRI

    Time frame: Collect data for an expected average about 2 hours

07

Study locations

1 site
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06922916
Responsible party
Diansan Su (Chair of the Department of Anesthesiology, Zhejiang University) — Principal investigator
First posted
Apr 11, 2025
Start date
Apr 22, 2025 (estimated)
Primary completion
Apr 6, 2026 (estimated)
Completion
Apr 30, 2026 (estimated)
Last update
Apr 22, 2025

Study contacts

Diansan Su, Dr
Contact
diansansu@yahoo.com
+8618616514088
chaoqin Chen, Dr
Contact
chenchaoqin09@126.com
+8613567148312

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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