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

EVALUATION of medical care; EXERCISE tests; GRAFT rejection; LUNG transplantation; MORTALITY; PATIENTS; MENTAL status examination; PATIENT readmissions; SURGICAL complications; PSYCHOLOGICAL tests; RISK assessment; MEDICAL care use; TRANSPLANTATION of organs, tissues, etc.; MENTAL health services

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 (χ2(1) = 6.47, p =.010), number of readmissions (χ2(1) = 6.47, p =.011), and mental health services utilization (χ2(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. [ABSTRACT FROM AUTHOR]

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