Cardiothoracic & vascular anesthesia

The Role of Recipient Thyroid Hormone Supplementation in Primary Graft Dysfunction After Heart Transplantation: A Propensity-Adjusted Analysis

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

These findings indicated that recipient single-dose thyroid hormone administration may not protect against the development of PGD, but may attenuate the severity of PGD.

Study context

Population
Adult patients undergoing orthotopic heart transplantation, university hospital461 in final cohort
Participants
609 patients
Exposure
Recipient T3 supplementation vs no T3
Outcome
PGD
Methodological detailssingle-centre, propensity-adjusted
  • Single-centre
  • Propensity-adjusted

Main finding

As reported in the abstract

P = 0.32

Observational data: associations, not effects.

Further findings

Mortality · 30 days

P = 0.53

Mortality · 1 year

P = 0.26

Moderate and severe primary graft dysfunction (PGD)

No differences in rates of moderate or severe PGD

Severe PGD (segmented time regression analysis)

T3 group less likely to develop severe PGD

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The Role of Recipient Thyroid Hormone Supplementation in Primary Graft Dysfunction After Heart Transplantation: A Propensity-Adjusted Analysis. J Cardiothorac Vasc Anesth. Published 23 July 2023. doi:10.1053/j.jvca.2023.07.027

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