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Pediatric Heart Transplantation Long-Term Survival in Different Age and Diagnostic Groups: Analysis of a National Database

Monday, May 22, 2017

Submitted by

CTSNet Staff

Source

Source Name: World Journal for Pediatric and Congenital Heart Surgery

Source URL: http://journals.sagepub.com/doi/pdf/10.1177/2150135117690096

Author(s)

Tarek Alsaied, MD, Muhammad S. Khan, MD, Raheel Rizwan, MD, Farhan Zafar, MD, Chesney D. Castleberry, MD, Roosevelt Bryant III, MD, Ivan Wilmot, MD, Clifford Chin, MD, John L. Jefferies, MD, David L. Morales, MD

The purpose of this study was to evaluate differences in long-term survival without the influence of early mortality, and to identify factors associated with one-year conditional ten-year survival after heart transplantation across different age and diagnostic groups using the UNOS database.

Predictors of one-year conditional ten-year survival for infants were: recipient’s Caucasian race (odds ratio [OR]: 1.9, 95% confidence interval [CI]: 1.3-2.7) and donor–recipient weight ratio (OR: 0.8, 95% CI: 0.6-1); for children: Caucasian race (OR: 1.6, 95% CI: 1.2-2.1), retransplantation (OR: 0.4, 95% CI: 0.2-0.6), and transplantation after the year 2000 (OR: 1.5, 95% CI: 1.1-2.1); for adolescents: only Caucasian race (OR: 2.5, 95% CI: 1.9-2.3). In both congenital heart disease (CHD) and cardiomyopathy groups, adolescents had worse survival compared to infants and children. There was an era effect with improved survival after 2000. Male gender was a predictor of survival in cardiomyopathy group.