Cardiothoracic & vascular anesthesia

Days Alive and Out of the Hospital After Heart Transplantation: A Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

In this analysis of patients undergoing orthotopic heart transplantation, there was no significant difference in DAOH365 in patients with prior MCS as a bridge to transplant compared to those without MCS.

Study context

Population
Adults undergoing orthotopic heart transplantation, January 1, 2015 to January 1, 2020
Participants
235 adults
Exposure
Mechanical circulatory support (MCS) as bridge to transplant vs no prior MCS
  • MCSn = 103
  • Without MCSn = 132reference
Outcome
Days alive and out of the hospital (DAOH) at 365 days (DAOH365) after orthotopic heart transplant
Follow-up
365 days
Methodological detailssingle-centre, academic tertiary referral center
  • Single-centre
  • Academic tertiary referral center

Main finding

As reported in the abstract

DAOH365

P = 0.43

Observational data: associations, not effects.

Further findings

DAOH365, entire cohort · 365 days

Median DAOH365 entire cohort, days (IQR 335.0-354.0)
348

Predictors of reduced DAOH365 (multivariate Poisson regression)

Transplant after the 2018 heart transplant allocation change, pretransplant pulmonary hypertension and increased total ischemic time predicted reduced DAOH365

Original publication

Days Alive and Out of the Hospital After Heart Transplantation: A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 30 September 2023. doi:10.1053/j.jvca.2023.09.039

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