Outcomes of Heart Transplant Recipients with Class II Obesity: A United Network for Organ Sharing Database Analysis

2022 ◽  
Vol 272 ◽  
pp. 69-78
Author(s):  
Yuangao Liu ◽  
Fernando A. Padilla ◽  
Edward A. Graviss ◽  
Duc T. Nguyen ◽  
Harveen K. Lamba ◽  
...  
Keyword(s):  
Heart Transplant ◽  
Class Ii ◽  
Transplant Recipients ◽  
Database Analysis ◽  
Heart Transplant Recipients ◽  
United Network

Acute Coronary Syndromes in Heart Transplant Recipients (from a National Database Analysis)

2018 ◽  
Vol 122 (11) ◽  
pp. 1824-1829
Author(s):  
Zubair Shah ◽  
Aniket Rali ◽  
Venkat Vuddanda ◽  
Keith Bullinger ◽  
Reza Masoomi ◽  
...  
Keyword(s):  
Heart Transplant ◽  
Acute Coronary Syndromes ◽  
National Database ◽  
Transplant Recipients ◽  
Database Analysis ◽  
Coronary Syndromes ◽  
Heart Transplant Recipients

An Outbreak of Mediastinitis Among Heart Transplant Recipients Apparently Related to a Change in the United Network for Organ Sharing Guidelines

2002 ◽  
Vol 23 (7) ◽  
pp. 377-381 ◽  
Author(s):  
Rafik Samuel ◽  
Peter Axelrod ◽  
Keith St. John ◽  
Thomas Fekete ◽  
Sharon Alexander ◽  
...  
Keyword(s):  
Heart Transplant ◽  
Bacterial Colonization ◽  
Tertiary Care ◽  
Multidrug Resistant ◽  
Organ Allocation ◽  
University Hospital ◽  
Transplant Recipients ◽  
Harvest Technique ◽  
Heart Transplant Recipients ◽  
United Network

Objective:To describe an outbreak of mediastinitis in heart transplant recipients.Design:Retrospective and contemporaneous cohort study.Setting:Urban tertiary-care university hospital with a large cardiac transplantation program.Patients:Heart transplant recipients.Interventions:Modifications of donor harvest technique; procedures aimed at decreasing skin and mucosal bacterial colonization; strict aseptic technique in the intensive care unit; and aggressive policing of established infection control practices.Results:In April 1999, mediastinitis rates among heart transplant recipients increased abruptly from a baseline of 6 cases per 100 procedures to sequential quarterly rates of 22, 31, and 50 cases per 100 procedures, whereas infection rates in other cardiac operations were unchanged. Bacteria causing these infections were multidrug-resistant "nosocomial" organisms. The epidemic occurred 2 months after a change in the United Network for Organ Sharing organ allocation algorithm. This change resulted in an increase in the duration of preoperative hospitalization from a median of 52 to 79 days (P= .008) and may have promoted prolonged hospitalization of patients with high illness severity. Aggressive multidisciplinary interventions were temporally associated with a return to preoperative mediastinitis rates without changing length of hospitalization prior to transplantation.Conclusions:Changes in organ allocation for transplant that prolong waiting time in the hospital and alter illness acuity may lead to increased rates of postoperative infection. Measures to limit bacterial colonization may be a helpful countervailing strategy.

Sign in / Sign up

Export Citation Format

Share Document