Examining racial and socioeconomic disparity in the pediatric heart transplant evaluation

2021 ◽  
Author(s):  
Waldemar F. Carlo ◽  
Samantha Floyd ◽  
Frank B. Pearce ◽  
Jacqueline L. Collins ◽  
Meloneysa Hubbard ◽  
...  
Keyword(s):  
Heart Transplant ◽  
Socioeconomic Disparity ◽  
Transplant Evaluation ◽  
Pediatric Heart Transplant

scholarly journals Post-traumatic stress symptoms in pediatric heart transplant recipients

2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Elana E. Evan ◽  
Payal A. Patel ◽  
Alison Amegatcher ◽  
Nancy Halnon
Keyword(s):  
Heart Transplant ◽  
Traumatic Stress ◽  
Disease Process ◽  
First Year ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Before And After ◽  
Post Traumatic ◽  
Transplant Evaluation ◽  
Pediatric Heart Transplant

Traumatic experiences are not unusual in pediatric heart transplant (HT) recipients before and after transplantation. Post-traumatic stress symptoms (PTSS) present at the time of transplant evaluation and developing afterward occur with an unknown frequency. We sought to determine the burden of these symptoms in heart transplant patients. We reviewed 51 consecutive HTs between 2003-2007, including 40 primary transplants and 11 retransplants. Symptoms were present in 17 of the 51 patients (34%) at the time of orthotopic heart transplantation evaluation. None met the criteria for full post traumatic stress disorder. Transplant complications were examined. Nineteen subjects of the total sample had rejection in the first year following transplant. Rejection rates in the first year was 41% for those with PTSS (7 of 17 patients) and 36% for those without (12 of 33 patients) (P=n.s). Of those patients presenting for a second heart transplant, 55% had PTSS at the time of transplant evaluation and/or the peritransplant period; whereas, (28%) undergoing a primary transplant had PTSS. In addition to symptoms resulting from the disease process leading to HT and other prior experiences, the HT itself seems to present a large psychiatric burden on patients. All patients need to be followed before and after HT for signs and symptoms related to PTSS. Future studies should be undertaken to determine if preventative detection and treatment of patients with these PTSS symptoms early can lead to better outcomes.

Impact of tacrolimus variability on pediatric heart transplant outcomes

2021 ◽  
Author(s):  
Megan Sirota ◽  
Caroline Heyrend ◽  
Zhining Ou ◽  
Susan Masotti ◽  
Eric Griffiths ◽  
...  
Keyword(s):  
Heart Transplant ◽  
Transplant Outcomes ◽  
Pediatric Heart Transplant

Increased Short- and Long-term Mortality at Low-volume Pediatric Heart Transplant Centers

2011 ◽  
Vol 253 (2) ◽  
pp. 393-401 ◽  
Author(s):  
Ryan R. Davies ◽  
Mark J. Russo ◽  
Kimberly N. Hong ◽  
Seema Mital ◽  
Ralph S. Mosca ◽  
...  
Keyword(s):  
Heart Transplant ◽  
Short And Long Term ◽  
Low Volume ◽  
Pediatric Heart Transplant ◽  
Long Term Mortality
Sign in / Sign up

Export Citation Format

Share Document