Browsing by Subject "heart transplant"

Now showing 1 - 3 of 3
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    Advocating for the Role of Occupational Therapy in the Transplant Continuum of Care
    (2024-05) Koppen, Arianna; Hess, Pamela; Department of Occupational Therapy, School of Health and Human Sciences; DiPerna, Christy; Bernard, Drew
    The thoracic transplant continuum of care includes lung transplant, heart transplant, and ventricular assistive devices (VAD) candidates and recipients. This patient population often faces unique physical, cognitive, psychosocial, and mental health deficits that impair physical and occupational performance hindering activities of daily living (ADLs). Survey and observational data (n=24) was collected from clinicians and patients participating in a transplant-specific rehabilitation program in Indianapolis, IN to identify occupational performance deficits and define the need for occupational therapy in this setting. Recommendations for integrating occupational therapy into the clinic were developed and included in the report.
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    Clinical characteristics, outcomes and immunosuppression strategies of heart transplant recipients infected with covid-19
    (Elsevier, 2021) Ilonze, Onyedika J.; Ballut, Kareem; Jones, Mark; Rao, Roopa; Guglin, Maya; Medicine, School of Medicine
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    Post-transplant outcomes in pediatric ventricular assist device patients: A PediMACS–Pediatric Heart Transplant Study linkage analysis
    (Elsevier, 2017) Sutcliffe, David L.; Pruitt, Elizabeth; Cantor, Ryan S.; Godown, Justin; Lane, John; Turrentine, Mark W.; Law, Sabrina P.; Lantz, Jodie L.; Kirklin, James K.; Bernstein, Daniel; Blume, Elizabeth D.; Surgery, School of Medicine
    Background Pediatric ventricular assist device (VAD) support as bridge to transplant has improved waitlist survival, but the effects of pre-implant status and VAD-related events on post-transplant outcomes have not been assessed. This study is a linkage analysis between the PediMACS and Pediatric Heart Transplant Study databases to determine the effects of VAD course on post-transplant outcomes. Methods Database linkage between October 1, 2012 and December 31, 2015 identified 147 transplanted VAD patients, the primary study group. The comparison cohort was composed of 630 PHTS patients without pre-transplant VAD support. The primary outcome was post-transplant survival, with secondary outcomes of post-transplant length of stay, freedom from infection and freedom from rejection. Results At implant, the VAD cohort was INTERMACS Profile 1 in 33 (23%), Profile 2 in 89 (63%) and Profile 3 in 14 (10%) patients. The VAD cohort was older, larger, and less likely to have congenital heart disease (p < 0.0001). However, they had greater requirements for inotrope and ventilator support and increased liver and renal dysfunction (p < 0.0001), both of which normalized at transplant after device support. Importantly, there were no differences in 1-year post-transplant survival (96% vs 93%, p = 0.3), freedom from infection (81% vs 79%, p = 0.9) or freedom from rejection (71% vs 74%, p = 0.87) between cohorts. Conclusions Pediatric VAD patients have post-transplant outcomes equal to that of medically supported patients, despite greater pre-implant illness severity. Post-transplant survival, hospital length of stay, infection and rejection were not affected by patient acuity at VAD implantation or VAD-related complications. Therefore, VAD as bridge to transplant mitigates severity of illness in children.