Survival and quality of Life for children with end-stage heart failure who are not candidates for cardiac transplant
被引:2
作者:
Sabati, Arash Alen
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机构:
Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USAUniv So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USA
Sabati, Arash Alen
[1
]
Szmuszkovicz, Jacqueline R.
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h-index: 0
机构:
Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USAUniv So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USA
Szmuszkovicz, Jacqueline R.
[1
]
Herrington, Cynthia
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h-index: 0
机构:
Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Dept Cardiothorac Surg, Los Angeles, CA USAUniv So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USA
Herrington, Cynthia
[2
]
Hermes, Mark
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h-index: 0
机构:
Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USAUniv So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USA
Hermes, Mark
[1
]
Mahmoud, Hesham A.
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h-index: 0
机构:
Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USAUniv So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USA
Mahmoud, Hesham A.
[1
]
Wee, Choo Phei
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Clin Invest Ctr,Saban Res Inst, Los Angeles, CA USAUniv So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USA
Wee, Choo Phei
[3
]
Starnes, Vaughn A.
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h-index: 0
机构:
Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Dept Cardiothorac Surg, Los Angeles, CA USAUniv So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USA
Starnes, Vaughn A.
[2
]
Menteer, JonDavid
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USAUniv So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USA
Menteer, JonDavid
[1
]
机构:
[1] Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA USA
[2] Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Dept Cardiothorac Surg, Los Angeles, CA USA
[3] Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Clin Invest Ctr,Saban Res Inst, Los Angeles, CA USA
BACKGROUND: Some pediatric patients referred for heart transplant (HTx) are sub-optimal candidates. Their outcomes without HTx are presumed to be dismal, but have not been well described. Knowledge about their outcomes is critical when weighing the risks between a high-risk transplant and "terminal" palliation. METHODS: We retrospectively reviewed all HTx referrals from January 2005 to July 2013. We excluded those who were listed for HTx, or who were denied HTx due to being "too well," seeking only those who were in need of but not suitable for HTx. End-points included mortality and length of survival. RESULTS: Of 212 referrals, 39 (19%) (age 0 to 19 years, median 3.5 years) were denied HTx for reasons other than being too well. Twenty-eight (72%) had palliated congenital heart disease. Overall mortality during the follow-up period was 38% (n = 15) with a median follow-up time of 195 days (8 to 2,832 days). Ten patients received subsequent cardiac surgery with 1 death (10%) and median follow-up of 2.6 years. Mortality risk was not influenced by age, weight, growth failure, congenital heart disease or single-ventricle physiology. Mechanical ventilation (hazard ratio 6.31, p = 0.001) and inotrope dependence (hazard ratio 4.79, p = 0.006) were associated with the highest risk of mortality. Quality of life was measured with the PedsQL cardiac module and completed by 11 of 16 eligible patients with an overall average score of 70.2 +/- 23.9. CONCLUSIONS: An advanced heart failure program can achieve satisfactory results for pediatric patients who are not suitable candidates for HTx. For some children, high-risk palliative surgery can result in better outcome than high-risk HTx. Mortality was related to the degree of heart failure at presentation rather than underlying heart disease. (C) 2015 International Society for Heart and Lung Transplantation. All rights reserved.
机构:
Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Mellion, Katelyn
Uzark, Karen
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Uzark, Karen
Cassedy, Amy
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp Med Ctr, Dept Biostat & Epidemiol, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Cassedy, Amy
Drotar, Dennis
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Behav & Clin Psychol, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Drotar, Dennis
Wernovsky, Gil
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Hosp Philadelphia, Dept Pediat, Div Cardiol, Philadelphia, PA 19104 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Wernovsky, Gil
Newburger, Jane W.
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Hosp Boston, Div Cardiol, Dept Pediat, Boston, MA USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Newburger, Jane W.
Mahony, Lynn
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas SW Med Ctr Dallas, Dept Pediat, Div Cardiol, Dallas, TX 75390 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Mahony, Lynn
Mussatto, Kathy
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Hosp Wisconsin, Dept Pediat, Div Cardiol, Milwaukee, WI 53201 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Mussatto, Kathy
Cohen, Mitchell
论文数: 0引用数: 0
h-index: 0
机构:
Phoenix Childrens Hosp, Dept Cardiol, Phoenix, AZ USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Cohen, Mitchell
Limbers, Christine
论文数: 0引用数: 0
h-index: 0
机构:
Baylor Univ, Dept Psychol Neurosci, Waco, TX 76798 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Limbers, Christine
Marino, Bradley S.
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Crit Care Med, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
机构:
Univ So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USAUniv So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
Menteer, JonDavid
Beas, Virginia N.
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Dept Anesthesiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USAUniv So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
Beas, Virginia N.
Chang, Jennifer C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Dept Anesthesiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USAUniv So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
Chang, Jennifer C.
Reed, Karen
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USAUniv So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
Reed, Karen
Gold, Jeffrey I.
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Dept Anesthesiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USAUniv So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
机构:
Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Mellion, Katelyn
Uzark, Karen
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Uzark, Karen
Cassedy, Amy
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp Med Ctr, Dept Biostat & Epidemiol, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Cassedy, Amy
Drotar, Dennis
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Behav & Clin Psychol, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Drotar, Dennis
Wernovsky, Gil
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Hosp Philadelphia, Dept Pediat, Div Cardiol, Philadelphia, PA 19104 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Wernovsky, Gil
Newburger, Jane W.
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Hosp Boston, Div Cardiol, Dept Pediat, Boston, MA USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Newburger, Jane W.
Mahony, Lynn
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas SW Med Ctr Dallas, Dept Pediat, Div Cardiol, Dallas, TX 75390 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Mahony, Lynn
Mussatto, Kathy
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Hosp Wisconsin, Dept Pediat, Div Cardiol, Milwaukee, WI 53201 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Mussatto, Kathy
Cohen, Mitchell
论文数: 0引用数: 0
h-index: 0
机构:
Phoenix Childrens Hosp, Dept Cardiol, Phoenix, AZ USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Cohen, Mitchell
Limbers, Christine
论文数: 0引用数: 0
h-index: 0
机构:
Baylor Univ, Dept Psychol Neurosci, Waco, TX 76798 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Limbers, Christine
Marino, Bradley S.
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Crit Care Med, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Cardiol, Cincinnati, OH 45229 USA
机构:
Univ So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USAUniv So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
Menteer, JonDavid
Beas, Virginia N.
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Dept Anesthesiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USAUniv So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
Beas, Virginia N.
Chang, Jennifer C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Dept Anesthesiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USAUniv So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
Chang, Jennifer C.
Reed, Karen
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USAUniv So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
Reed, Karen
Gold, Jeffrey I.
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Dept Anesthesiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USAUniv So Calif, Keck Sch Med, Div Cardiol, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA