Pediatric donor heart acceptance practices in the United States: What is really being considered?

ABSTRACT:

Background

Recent studies demonstrate high offer decline and organ non-utilization rates are associated with increased pediatric heart transplant waitlist mortality. We sought to determine which donor, candidate, and offer specific variables most importantly influenced these decisions using only data available at the time of each offer.

Methods

Retrospective review of pediatric (<18 years) heart donor offers made to pediatric candidates in the United States between 2010 and 2020. In addition to standard donor, candidate, and offer data available in UNOS, we extracted objective and qualitative valvar and myocardial function data from all available donor echocardiogram reports.

Results

During the study period, 5625 pediatric donor hearts produced 30 156 offers to 4905 u

SUBMITTER: McCulloch MA 

PROVIDER: S-EPMC10872937 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature