TABLE 2

Results of selected urgency allocation systems

Country/regionFrance (Roussel et al. [4])Italy [10]Scandiatransplant [5]Spain [11]
Year of introduction2007201020091998
Lung transplant activity in 2016384 (6 pmp)144 (2 pmp)143 (5 pmp)363 (7 pmp)
Area km2643 801301 3381 320 000505 990
Centres n111058
Urgency503/2333 (22%)28/140 (20%)71/1033 (7%)279/2752 (10%)
Median age of urgent patients years44344044
ECMO/MV n (%)38 (13%)/49 (10%)24 (86%)/25 (89%)32 (45%)/7 (10%)NA/60 (82%)
Urgency tiers n1121
Specific criteriaYesYesNoYes
Waiting time on urgencyNA6 days3 days4 days
1-year death on waiting list urgent/elective(6% versus NA)21% versus NA10% versus 3%15% versus NA
1 year survival after lung transplant urgent/elective68% versus 78%71% versus NA81% versus 85%61% versus 80%

ECMO: extracorporeal membrane oxygenation; MV: mechanical ventilation; NA: not available; pmp: per million population.