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Clinical status of patients removed from a transplant waiting list rivals that of transplant recipients at significant cost savings.

Abstract：

:We retrospectively contrasted the medical outcome of patients removed from the heart transplant consideration list because of clinical improvement with that of transplant recipients. Of 60 patients awaiting transplantation, 18 were removed from the list (group A), and 42 required transplant or died (group B). Group A significantly improved regarding exercise oxygen uptake, ejection fraction, and hemodynamics. For more than 2 years after transplantation or "delisting," both groups had comparable symptoms (New York Heart Association class I to II) and cardiovascular mortality (1 of 18 for group A vs 3 of 32 for group B) but lower hospitalizations for group A (0.5 +/- 0.6 of 27 months per patient) versus group B (2.8 +/- 2.1 of 23 months per patient) (p = 0.0002). Despite two patients who had been removed from the list requiring transplantation, savings for delisting exceeded $2.2 million. Thus medical therapy allows transplant recipient list removal with clinical improvements sustained for 1 to 3 years at significant cost savings.

journal_name

Am Heart J

journal_title

American heart journal

authors

Levine TB,Levine AB,Goldberg AD,Tobes M,Narins B,Lesch M

doi

10.1016/s0002-8703(96)90462-7

subject

Has Abstract

pub_date

1996-12-01 00:00:00

pages

1189-94

issue

6

eissn

0002-8703

issn

1097-6744

pii

S0002-8703(96)90462-7

journal_volume

132

pub_type

杂志文章

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