Predicted heart mass based on ideal body weight for donor-to-recipient size matching.
Clin Transplant
; 37(12): e15150, 2023 12.
Article
em En
| MEDLINE
| ID: mdl-37924498
ABSTRACT
BACKGROUND:
Predicted heart mass (PHM) is a commonly used tool for donor-to-recipient size matching. However, incorporating body weight as part of PHM can be considered problematic given its high variability, and low metabolic nature of fat. We sought to assess whether substituting the actual donor and recipient weight with the ideal body weight (IBW) would affect the association of donor-to-recipient PHM ratio with 1-year and overall survival after heart transplantation.METHODS:
The United Network for Organ Sharing (UNOS) database was queried for adult patients who received a primary heart transplant between January 2000 and September 2021.RESULTS:
Both PHM and ideal PHM (IPHM) ratios were associated with one-year (PHM p = .003; IPHM p = .0007) and overall (PHM p = .02; IPHM p = .02) survival. In the continuous analysis with restricted cubic splines, both PHM (p = .0003) and IPHM (p = .00001) were associated with relative hazards of death.CONCLUSION:
IPHM is significantly associated with post-transplant survival and may be a useful compliment to PHM.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transplante de Coração
/
Peso Corporal Ideal
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Clin Transplant
Ano de publicação:
2023
Tipo de documento:
Article