The effect of recipient BMI on waitlist and post-transplant outcomes after the 2018 heart transplant allocation policy change.

ABSTRACT:

Objective

The effects of recipient body mass index (BMI) on waitlist strategies, waitlist outcomes, and post-transplant outcomes among adult patients listed for heart transplantation under the updated 2018 allocation system have not been well characterized.

Methods

The United Network of Organ Sharing data set between October 2015 and March 2021 was analyzed, and patients were grouped based on recipient BMI and whether listing occurred in the old (pre-October 2018) or new allocation system.

Results

Listing strategies differed by BMI group, but trends of increased use of temporary mechanical support and decreased use of durable support remained among all BMI groups, except those with BMI > 35 kg/m² . Waitlist outcomes improved among all BMI cohorts in the new

SUBMITTER: Patel JN 

PROVIDER: S-EPMC9320797 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature