AI Article Synopsis

  • The study investigates how body mass index (BMI) before lung transplantation affects survival rates after the procedure.
  • It categorizes patients into BMI groups (underweight, normal weight, overweight, obese) to evaluate their post-transplant survival.
  • Findings suggest that using a BMI cutoff of <17.0 kg/m is crucial for better predicting poor outcomes in underweight patients, rather than the standard <18.5 kg/m cutoff used by the WHO.

Article Abstract

Purpose: The body mass index (BMI) before lung transplantation (LT) is a benchmark of the post-LT survival. The aim of the study is to determine the BMI inadequate for the post-LT survival.

Methods: We examined the survival after LT in patients grouped into the following BMI categories: <18.5 kg/m (underweight), 18.5-24.9 kg/m (normal weight), 25-29.9 kg/m (overweight), and ≥30.0 kg/m (obese) according to the World Health Organization (WHO) criteria. A more detailed categorization was made for further evaluation of the underweight group: mild (17.0 ≤ BMI < 18.5 kg/m) and severely underweight (BMI <17.0 kg/m).

Results: There was no statistically significant difference in the post-LT survival between underweight and normal-weight patients (5-year survival: 78.7 vs. 76.1%). Patients with BMI <17.0 kg/m had a worse prognosis than those with 17.0 ≤ BMI < 18.5 kg/m (5-year survival: 70.3 vs. 90.0%).

Conclusions: Standard BMI categorization per the WHO criteria is inadequate for determining the post-LT survival, especially in underweight patients. For the nutritional evaluation of underweight pre-LT patients, BMI <17.0 kg/m should be used instead of BMI <18.5 kg/m.

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Source
http://dx.doi.org/10.1007/s00595-017-1508-8DOI Listing

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