The UNOS donor heart allocation system was revised in 2018, giving priority to patients on inpatient mechanical circulatory support (MCS). Patients admitted with heart failure-associated cardiogenic shock were tracked for the frequency of use of mechanical circulatory support before and after implementation of this change. In non-transplant centers, there was no change in the frequency of MCS. In transplant centers, use of MCS increased from 25% to 43%.
See also: https://jamanetwork.com/journals/jamacardiology/article-abstract/2764755?resultClick=1
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Use of Temporary Mechanical Circulatory Support for Management of Cardiogenic Shock Before and After the United Network for Organ Sharing Donor Heart Allocation System Changes
Submitted by: Mark Ferguson
Source: JAMA Cardiology
Keywords:
Author(s): Anubodh S. Varshney, David D. Berg, Jason N. Katz, Vivian M. Baird-Zars, Erin A. Bohula, Anthony P. Carnicelli, Sunit-Preet Chaudhry, Jianping Guo, Patrick R. Lawler, Jose Nativi-Nicolau, Shashank S. Sinha, Jeffrey J. Teuteberg, Sean van Diepen, David A. Morrow, for the Critical Care Cardiology Trials Network Investigators
