@article {RieraPA2644, author = {Jordi Riera and Jaume Baldir{\`a} and Sergio Ramirez and Cristopher Mazo and Carolina Maldonado and Berta Saez-Gimenez and Irene Bello and Teresa Pont and Jordi Rello}, title = {Gastroparesis following lung transplantation: Risk factor for pneumonia}, volume = {46}, number = {suppl 59}, elocation-id = {PA2644}, year = {2015}, doi = {10.1183/13993003.congress-2015.PA2644}, publisher = {European Respiratory Society}, abstract = {Background: Pneumonia in the postoperative period of lung transplantation (LT) increases early mortality. Gastroparesis following LT may be a risk factor for its occurrence.Aims and Objectives: We aimed to evaluate if gastroparesis was a risk factor for pneumonia in a cohort of LT recipients. The impact of pneumonia on early mortality was also assessed.Methods: We prospectively included 187 LT recipients admitted to the intensive care unit (ICU) in the immediate postoperative period. We defined gastroparesis as the presence of abdominal discomfort with enteral nutrition, gastric-content aspiration measured every 6h \>500 mL and stomach dilation on chest x-ray. We followed the recommendations of the International Society of Heart and Lung Transplantation (ISHLT) for pneumonia definition. The follow-up period ended at one year. Continuous data are reported as median and interquartile range (IQR).Results: Days of mechanical ventilation, in ICU and in hospital were 15 (30.5), 19 (31), 38 (33) respectively. 21 patients (11.2\%) died in the ICU. Gastroparesis was present in 65 patients (34.8\%) and it was associated with a higher risk of pneumonia (Odds ratio of 3.9, 95\% confidence interval of 1.4{\textendash}3.9). 22 patients (11.7\%) suffered pneumonia and they had a higher mortality. Conclusions: Gastroparesis is a risk factor for pneumonia in the postoperative period of LT and its prevention may decrease early mortality.}, issn = {0903-1936}, URL = {https://erj.ersjournals.com/content/46/suppl_59/PA2644}, eprint = {https://erj.ersjournals.com/content}, journal = {European Respiratory Journal} }