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Peer-Reviewed Publication
JHLT Open2026;13100608.August 1, 2026Journal Article

Covid-19 pneumonia in lung transplant recipients admitted to the intensive care unit: the COLT-ICU French Multicenter Retrospective Cohort Study.

Madeleine Thès1, Thibaut Genty1, Nathalie Zappella2, Charles Tacquard3, Guillaume Tachon4, Sami Hraiech5, Cédric Bretonniere6, Sylvie Paulus7, Laure Crognier8, Hadrien Rozé9, Sebastien Repplinger1, Jérôme Le Pavec10,11,12, Fadel Elie11,12,13, François Stéphan1,11,12
1Cardiothoracic intensive care unit, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph, Le Plessis Robinson, France.
2Anesthesiology and Critical Care Medicine Department, PARABOL Medical Academic Department, Bichat-Claude Bernard University Hospital Paris Nord Val de Seine, Assistance Publique-Hôpitaux de Paris, Paris, France.
3Department of Anesthesia and Intensive Care, Strasbourg University Hospital, Strasbourg, France.
4Medical Intensive Care Unit, Foch Hospital, Suresnes, France.
5Medical Intensive Care Unit, Assistance Publique-Hôpitaux de Marseille, North University Hospital, Marseille, France.
6Department of Respiratory Medicine, Thorax Institute, Nantes University Hospital, Nantes, France.
7Department of Anesthesia and Intensive Care, Eastern Hub, Louis Pradel Hospital, Lyon Civilian Hospitals, Bron, France.
8Department of Anesthesia, Intensive Care and Perioperative Care, Rangueil University Hospital, Toulouse, France.
9Department of Thoraco-Abdominal Anesthesiology and Intensive Care, Bordeaux University Hospital, Bordeaux, France.
10Thoracic, Vascular, and Cardiopulmonary Transplantation Surgery, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint-Joseph, Le Plessis-Robinson, France.
11Paris-Saclay University, School of Medicine, Kremlin-Bicêtre, France.
12INSERM U999, Pulmonary Hypertension: Pathophysiology and Novel Therapies, Marie Lannelongue Hospital, Le Plessis-Robinson, France.
13Thoracic, Vascular, and Heart-Lung Transplantation Surgery, Marie-Lannelongue Hospital, Groupe Hospitalier Paris-Saint-Joseph, Le Plessis Robinson, France.

Abstract

BACKGROUND: Lung transplant (LTx) recipients are at high risk for severe COVID-19. Few data on morbidity and mortality in LTx recipients admitted to the intensive care unit (ICU) for COVID-19 are available. METHODS: We conducted a multicenter retrospective study in the nine accredited adult LTx centers in France from March 2020 to December 2022. The primary objective was to identify risk factors…

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