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Donor Heart Utilization following Cardiopulmonary Arrest and Resuscitation: Influence of Donor Characteristics and Wait Times in Transplant Regions
Joint Authors
Quader, Mohammed
Wolfe, Luke
Katlaps, Gundars
Kasirajan, Vigneshwar
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-07
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Procurement of hearts from cardiopulmonary arrest and resuscitated (CPR) donors for transplantation is suboptimal.
We studied the influences of donor factors and regional wait times on CPR donor heart utilization.
Methods.
From UNOS database (1998 to 2012), we identified 44,744 heart donors, of which 4,964 (11%) received CPR.
Based on procurement of heart for transplantation, CPR donors were divided into hearts procured (HP) and hearts not procured (HNP) groups.
Logistic regression analysis was used to identify predictors of heart procurement.
Results.
Of the 4,964 CPR donors, 1,427 (28.8%) were in the HP group.
Donor characteristics that favored heart procurement include younger age (25.5 ± 15 yrs versus 39 ± 18 yrs, P≤0.0001), male gender (34% versus 23%, P≤0.0001), shorter CPR duration (<15 min versus >30 min, P≤0.0001), and head trauma (60% versus 15%).
Among the 11 UNOS regions, the highest procurement was in Region 1 (37%) and the lowest in Region 3 (24%).
Regional transplant volumes and median waiting times did not influence heart procurement rates.
Conclusions.
Only 28.8% of CPR donor hearts were procured for transplantation.
Factors favoring heart procurement include younger age, male gender, short CPR duration, and traumatic head injury.
Heart procurement varied by region but not by transplant volumes or wait times.
American Psychological Association (APA)
Quader, Mohammed& Wolfe, Luke& Katlaps, Gundars& Kasirajan, Vigneshwar. 2014. Donor Heart Utilization following Cardiopulmonary Arrest and Resuscitation: Influence of Donor Characteristics and Wait Times in Transplant Regions. Journal of Transplantation،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1043293
Modern Language Association (MLA)
Quader, Mohammed…[et al.]. Donor Heart Utilization following Cardiopulmonary Arrest and Resuscitation: Influence of Donor Characteristics and Wait Times in Transplant Regions. Journal of Transplantation No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1043293
American Medical Association (AMA)
Quader, Mohammed& Wolfe, Luke& Katlaps, Gundars& Kasirajan, Vigneshwar. Donor Heart Utilization following Cardiopulmonary Arrest and Resuscitation: Influence of Donor Characteristics and Wait Times in Transplant Regions. Journal of Transplantation. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1043293
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1043293