Up to an Hour of Donor Resuscitation Does Not Affect Pediatric Heart Transplantation Survival

Between 2001 and 2021, 51 percent (n = 28,012) of US pediatric heart donors underwent cardiopulmonary resuscitation (CPR). Donor acceptance was lower after CPR (54 percent versus 66 percent; P < .001) and across successive quartiles of CPR duration (P < .001). Posttransplant survival was worse in donors who received more than 55 minutes of CPR (11.1 years vs 9.2 years; P = .025). There was no survival difference between the recipients of donors who received less than 55 minutes of CPR and no CPR (11.1 years vs 11.2 years; P = .571).