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 (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.
摘要:
斯坦福移植综合心理社会评估(SIPAT)是实体器官移植候选人的心理社会风险状况的标准化度量。虽然研究发现这种测量与移植结果之间存在关联,迄今为止,尚未在肺移植受者中进行检查。我们在45例肺移植受者的样本中检查了移植前SIPAT评分与1年肺移植医学和社会心理结果之间的关系。SIPAT与6分钟步行检验显着相关(χ2(1)=6.47,p=.010),再入院次数(χ2(1)=6.47,p=.011),和精神卫生服务利用(χ2(1)=18.15,p<.001)。它与器官排斥反应或死亡的存在无显著相关(ps>0.10)。结果表明,SIPAT可以帮助识别移植并发症风险升高的患者,因此可以从减轻风险因素和改善预后的服务中受益。