Associations between the stanford integrated psychosocial assessment for transplant and one-year lung transplant medical and psychosocial outcomes

斯坦福大学移植综合心理社会评估与肺移植术后一年医疗和心理社会结果之间的关联

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Abstract

The Stanford Integrated Psychosocial Assessment for Transplant (SIPAT) is a standardized measure of the psychosocial risk profile of solid organ transplant candidates. While studies have found associations between this measure and transplant outcomes, to date this has not been examined in lung transplant recipients. We examined relations between pre-transplant SIPAT scores and 1-year lung transplant medical and psychosocial outcomes in a sample of 45 lung transplant recipients. The SIPAT was significantly associated with 6-minute walk test (χ(2)(1) = 6.47, p = .010), number of readmissions (χ(2)(1) = 6.47, p = .011), and mental health services utilization (χ(2)(1) = 18.15, p < .001). It was not a significantly associated with the presence of organ rejection or mortality (ps > 0.10). Results suggest that the SIPAT can help identify patients who are at an elevated risk for transplant complications and thus would benefit from services to mitigate risk factors and improve outcomes.

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