Outcomes of extracorporeal membrane oxygenation following the 2018 adult heart allocation policy.

ABSTRACT:

Background

The purpose of the study was to characterize changes in waitlist and post-transplant outcomes of extracorporeal membrane oxygenation (ECMO) patients bridged to heart transplantation under the 2018 adult heart allocation policy.

Methods

All adult patients listed for isolated heart transplantation from August 2016 to December 2020 were identified using the United Network for Organ Sharing database. Patients were stratified into Eras (Era 1 and Era 2) centered around the policy change on October 18, 2018. Competing risk regression was used to evaluate waitlist death or deterioration across Eras. Cox proportional hazards models were used to determine associations between use of ECMO and 1-year post-transplant mortality within each Era.

Results

Of 8,902 heart tr

SUBMITTER: Kim ST 

PROVIDER: S-EPMC9122227 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature