Death after rejection with severe hemodynamic compromise in pediatric heart transplant recipients: a multi-institutional study

Pahl, Elfriede; Naftel, David C.; Canter, Charles E.; Frazier, Elizabeth A.; Kirklin, James K.; Morrow, W. Robert

doi:10.1016/s1053-2498(00)00228-x

Cited by 97 publications

(72 citation statements)

References 6 publications

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“…Based on several studies from the PHTS, recipients with the following characteristics most likely fall into this group: any history of ER (initial, recurrent or with hemodynamic compromise); non-white race; older age at transplant (any recipient Ͼ1 year of age at time of transplant); those without history of congenital heart disease; and those with a male donor. 2,4,12,13 Further analyses are needed to evaluate additional risk factors for development of coronary vasculopathy, but improvement in incidence of LR should also portend less risk of vasculopathy or need for retransplantation.…”

Section: Discussionmentioning

confidence: 99%

“…Structure of the PHTS and data collection methods and have been described previously. [13][14][15] The data included all transplants performed between January 1993 and December 2007. Data were analyzed to assess for era-effect in 2 eras: (1) early era included HTxs performed between 1993 and 1998; and (2) current era included HTxs performed between 1999 and 2007.…”

Section: Patient Populationmentioning

confidence: 99%

“…2,4,13,15 For this study, LR was defined as an acute rejection event occurring Ͼ1 year after HTx. ER was defined as an acute rejection event within the first year after HTx.…”

Section: Definition Of Rejectionmentioning

confidence: 99%

See 2 more Smart Citations

Has late rejection decreased in pediatric heart transplantation in the current era? A multi-institutional study

Ameduri¹,

Zheng²,

Schechtman³

et al. 2012

The Journal of Heart and Lung Transplantation

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Section: Discussionmentioning

confidence: 99%

Section: Patient Populationmentioning

confidence: 99%

See 1 more Smart Citation

Has late rejection decreased in pediatric heart transplantation in the current era? A multi-institutional study

Ameduri¹,

Zheng²,

Schechtman³

et al. 2012

The Journal of Heart and Lung Transplantation

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“…The study demonstrates that black paediatric heart transplant recipients had a significantly lower graft survival rate compared with other racial groups, 51% versus 69%. There have been several other reports that demonstrate a higher graft rejection after paediatric heart transplant among black recipients (Chin et al, 2004;Pahl et al, 2001). In comparison, research conducted in a cardiac transplant center in the United Kingdom (UK) included 78 children who underwent a heart transplant between 2001 and 2005.…”

Section: Social Outcomesmentioning

confidence: 99%

The New Normal: A Bourdieusian Examination of Living Into Young Adulthood Being a Paediatric Heart Transplant Recipient

Mauthner

Angus

Gastaldo

et al. 2014

The Journal of Heart and Lung Transplantation

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Improved success of paediatric cardiac transplantation has resulted in increased survival of recipients into young adulthood (19 to 29 years of age). Young adults who received a heart transplant during childhood have experienced multiple life sustaining procedures. As survival and longevity increase, it is clear that transplant recipients experience negative physiological, psychological and social sequelae. With heart transplant offering individuals a chance to extend life into young adulthood, recipients need lifelong care and at age 18 they will transition from paediatric to adult healthcare facilities. The study addressed young adults circumstances of existence and their competing interests within various social environments. This research project applied Pierre Bourdieu's theoretical concepts of habitus, field and capital, to conceptualize and engage with empirical knowledge production about young adults who have received a heart transplant during childhood. Using visual methodology, focused open-ended interviews were conducted with 12 young adults who had a heart transplant during childhood. Bourdieu's work iii provided a theoretical framework to investigate transplant recipients' identities and social repositioning in relation to dominant discourses of organ transplant and shifting relationships with health services providers. This study involved an iterative process to identify recipients' encounters and new compositions in relation with others, in order to answer the research objective. These findings highlight that young adult transplant recipients struggle with relational dispositions that excludes them from various fields of social engagement; their struggle and exclusion from various fields is symbolic and is embedded in the structure of the dominant social order of the field from where they become excluded; the social order is taken up and embodied, leading young transplant recipients to practices of accommodation and "normalization". Changes

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“…1,2 The first year after transplant remains the time of greatest risk, with decreasing incidence in later years. [1][2][3][4] Age at transplant plays a role as well, with the lowest risk reported in infant recipients, whereas older recipients carry a higher risk of rejection. 1,2,5 Diagnosing rejection can be relatively straightforward in a symptomatic patient.…”

mentioning

confidence: 99%

The Impact of Age on the Incidence and Prevalence of Moderate to Severe Cellular Rejection Detected by Routine Surveillance Biopsy in Pediatric Heart Transplantation

Zinn

Simpson

Wallendorf

et al. 2016

The Journal of Heart and Lung Transplantation

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show abstract

Death after rejection with severe hemodynamic compromise in pediatric heart transplant recipients: a multi-institutional study

Cited by 97 publications

References 6 publications

Has late rejection decreased in pediatric heart transplantation in the current era? A multi-institutional study

Has late rejection decreased in pediatric heart transplantation in the current era? A multi-institutional study

The New Normal: A Bourdieusian Examination of Living Into Young Adulthood Being a Paediatric Heart Transplant Recipient

The Impact of Age on the Incidence and Prevalence of Moderate to Severe Cellular Rejection Detected by Routine Surveillance Biopsy in Pediatric Heart Transplantation

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