Time for evidence-based, standardized donor size matching for pediatric heart transplantation

Accurately predicting cardiac size by other body parameters has long been problematic to determine whether a donor heart will serve a given waitlist candidate, yet hundreds of heart donors are turned down annually for size mismatch. We sought to describe how donor body weight parameters are currentl...

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Bibliographic Details
Published in:The Journal of thoracic and cardiovascular surgery 2019-12, Vol.158 (6), p.1652-1660.e4
Main Authors: Riggs, Kyle W., Giannini, Courtney M., Szugye, Nicholas, Woods, Jason, Chin, Clifford, Moore, Ryan A., Morales, David L.S., Zafar, Farhan
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Body Size
cardiac transplantation
Child
Child, Preschool
Clinical Decision-Making
Databases, Factual
Donor Selection - standards
Evidence-Based Medicine
Female
Health Status
Healthcare Disparities - standards
heart failure
Heart Transplantation - adverse effects
Heart Transplantation - standards
Humans
Infant
Infant, Newborn
Male
Organ Size
pediatric
Practice Patterns, Physicians' - standards
Retrospective Studies
Risk Assessment
Risk Factors
Tissue Donors - supply & distribution
United States
Waiting Lists
waitlist
weight
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Summary:Accurately predicting cardiac size by other body parameters has long been problematic to determine whether a donor heart will serve a given waitlist candidate, yet hundreds of heart donors are turned down annually for size mismatch. We sought to describe how donor body weight parameters are currently utilized in cardiac transplantation and its influence on waitlist outcomes. From the United Network for Organ Sharing database, pediatric (age
ISSN:0022-5223
1097-685X
DOI:10.1016/j.jtcvs.2019.06.037