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Five-year OS was 25.8% and 66.4% in the low and high LEMS groups, respectively. Risk of NRM was significantly higher in the low LEMS group (HR 4.49, 95% CI 1.28 to 15.68, p=0.019) than in the high LEMS group. The cumulative incidence of NRM was 41.4% and 11.1% in the low and high LEMS groups, respectively. Pre-transplant LEMS was a significant factor in predicting OS and NRM. Pre-transplant LEMS was a significant factor in predicting OS and NRM. Upper respiratory tract infections (URTIs) account for substantial non-urgent ED attendances.