Pediatric cardiac waitlist mortality-Still too high

被引:35
|
作者
Denfield, Susan W. [1 ,3 ,13 ]
Azeka, Estela [2 ]
Das, Bibhuti [3 ]
Garcia-Guereta, Luis [4 ]
Irving, Claire [5 ]
Kemna, Mariska [6 ]
Reinhardt, Zdenka [7 ]
Thul, Josef [8 ]
Dipchand, Anne I. [9 ]
Kirk, Richard [10 ]
Davies, Ryan R. [11 ]
Miera, Oliver [12 ]
机构
[1] Texas Childrens Hosp, Baylor Coll Med, Div Pediat Cardiol, Houston, TX 77030 USA
[2] Univ Sao Paolo, Div Pediat Cardiol, Sao Paulo, Brazil
[3] Baylor Coll Med, Texas Childrens Hosp, Austin, TX USA
[4] Hosp Univ La Paz, Div Pediat Cardiol, Madrid, Spain
[5] Childrens Hosp Westmead, Div Pediat Cardiol, Sydney, NSW, Australia
[6] Seattle Childrens Hosp, Div Pediat Cardiol, Seattle, WA USA
[7] Freeman Rd Hosp, Div Pediat Cardiol, Newcastle Upon Tyne, Tyne & Wear, England
[8] Univ Giessen, Childrens Heart Ctr, Div Pediat Cardiol, Giessen, Germany
[9] Univ Toronto, Hosp Sick Children, Labatt Family Heart Ctr, Toronto, ON, Canada
[10] Univ Texas Southwestern Med Ctr Dallas, Childrens Med Ctr, Div Pediat Cardiol, Dallas, TX 75390 USA
[11] Univ Texas Southwestern Med Ctr Dallas, Childrens Med Ctr, Dept Cardiovasc & Thorac Surg, Dallas, TX 75390 USA
[12] Deutsch Herzzentrum Berlin, Dept Congenital Heart Dis Pediat Cardiol, Berlin, Germany
[13] Baylor Coll Med, Texas Childrens Hosp, Houston, TX 77030 USA
关键词
children; heart transplant; mortality; waitlist; VENTRICULAR ASSIST DEVICE; WAITING-LIST MORTALITY; LEFT-HEART SYNDROME; RISK STRATIFICATION; CROSS-MATCH; TRANSPLANTATION; OUTCOMES; CHILDREN; IMPACT; CARDIOMYOPATHY;
D O I
10.1111/petr.13671
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Cardiac transplantation for children with end-stage cardiac disease with no other medical or surgical options is now standard. The number of children in need of cardiac transplant continues to exceed the number of donors considered "acceptable." Therefore, there is an urgent need to understand which recipients are in greatest need of transplant before becoming "too ill" and which "marginal" donors are acceptable in order to reduce waitlist mortality. This article reviewed primarily pediatric studies reported over the last 15 years on waitlist mortality around the world for the various subgroups of children awaiting heart transplant and discusses strategies to try to reduce the cardiac waitlist mortality.
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页数:6
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