Abstract

BO is the leading cause of mortality beyond the first year after transplant in pediatric LTx recipients. Since BO is a histologic diagnosis it often mandates performing an open lung biopsy. BOS is a clinical diagnosis based on spirometric data that is the accepted standard for staging chronic allograft dysfunction. The use of predicted values for pediatric recipients has not been validated. We determined the sensitivity, specificity, positive and negative predictive values (PPV and NPV) of the BOS stages for predicting BO in children.

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