{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T07:03:33Z","timestamp":1785308613597,"version":"3.55.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ruth L. Kirschstein Institutional National Research Service Award of the National Institutes of Health","award":["T32GM144274"],"award-info":[{"award-number":["T32GM144274"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transplant recipients represent a growing population with unique medical complexities, yet trauma outcomes remain poorly characterized. We investigated mortality and complications in kidney transplant (KT) and liver transplant (LT) patients following blunt trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Healthcare Cost and Utilization Project National Inpatient Sample (2019-2022) was queried for adults admitted following blunt trauma. ICD-10 codes identified KT\/LT patients. Propensity score matching controlled for confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      1,117,744 patients were included 2237 (0.20%) KT and 1250 (0.11%) LT. No mortality differences were observed. After matching, KT patients had lower renal failure risk (OR 0.83, 95% CI: 0.72-0.95,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .007) and higher risk of pneumonia (OR 1.41, 95% CI: 1.09-1.82,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .009). LT patients had higher renal failure risk (OR 1.56, 95% CI: 1.31-1.87,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transplant recipients experienced mortality rates comparable to matched controls after controlling for hospital characteristics and patient-level confounders. However, organ-specific specific vulnerabilities were identified: KT recipients demonstrated significantly increased pneumonia risk (OR 1.41), while LT recipients had 56% increased odds of renal failure. These associations may inform future investigation into targeted monitoring strategies and interventions for this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261436813","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T12:22:34Z","timestamp":1773836554000},"page":"2301-2312","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Kidney and Liver Transplant Following Blunt Trauma: A Propensity-Matched National Database Study"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9812-6109","authenticated-orcid":false,"given":"Rachel L.","family":"Wolansky","sequence":"first","affiliation":[{"name":"University of South Florida College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Zander","sequence":"additional","affiliation":[{"name":"University of South Florida College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Sujka","sequence":"additional","affiliation":[{"name":"University of South Florida College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2610-4233","authenticated-orcid":false,"given":"Paul C.","family":"Kuo","sequence":"additional","affiliation":[{"name":"University of South Florida College of Medicine"},{"name":"Bay Pines Veteran\u2019s Hospital, Research and Development"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9671-1484","authenticated-orcid":false,"given":"Melissa A.","family":"Kendall","sequence":"additional","affiliation":[{"name":"University of South Florida College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"UNOS Data and Trends. United network for organ sharing data and statistics. https:\/\/unos.org\/data\/. Accessed June 1 2025."},{"key":"e_1_3_4_3_2","unstructured":"Trauma Facts. The American association for the surgery of trauma. https:\/\/www.aast.org\/resources\/trauma-facts. Accessed June 1 2025."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000002713"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000002900"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.17478"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.Ta.0000042015.54022"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200004000-00001"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000001025"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2019.09.001"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa1189"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.2215\/cjn.15040920"},{"key":"e_1_3_4_13_2","unstructured":"Implementation details. https:\/\/cran.r-project.org\/web\/packages\/icdpicr\/vignettes\/implementation-details.html. 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