Patients undergoing lung transplantation and other thoracic surgery,as well as advanced age, increased severity of the disease estimated by the AcutePhysiology and Chronic Health Evaluation III (APACHE III) score, bradycardia,abnormal levels of albumin in the admission to the ICU, hyperkalemia and high levelof activated partial thromboplastin time (APTT) at discharge from the ICU, presenteda higher risk regardless of deterioration. The gene discussed is ALB; the disease is Hyperkalemia.