The adapted Heart Donor Score

Abstract

Summary The Heart Donor Score (HDS) predicts donor organ discard for medical reasons and survival after heart transplantation (HTX) in the Eurotransplant allocation system. Our aim was to adapt the HDS for application in the United Network for Organ Sharing (UNOS) registry. To adjust for differences between the Eurotransplant and UNOS registries, the “adapted HDS” was created (aHDS) by exclusion of the covariates “valve function,” “left‐ventricular hypertrophy,” and exclusion of “drug abuse” from the variable “compromised history.” Two datasets were analyzed to evaluate associations of the aHDS with donor organ discard (n = 70 948) and survival (n = 19 279). The aHDS was significantly associated with donor organ discard [odds ratio 2.72, 95% confidence interval (CI) 2.68–2.76, P < 0.001; c‐statistic: 0.937). The score performed comparably in donors <60 and ≥60 years of age. The aHDS was a significant predictor of survival as evaluated by univariate Cox proportional hazards analysis (hazard ratio 1.04, 95% CI 1.01–1.07, P = 0.023), although the association lost significance in a multivariable model. The aHDS predicts donor organ discard. Negative effects of most aHDS components on survival are likely eliminated by highly accurate donor selection processes.

Donor Pericardial Interleukin and Apolipoprotein Levels May Predict the Outcome after Human Orthotopic Heart Transplantation

“…In recent decades, the UNOS and the Heart Donor Score have been developed for a better quantitative description of donor hearts [ 6 , 7 , 10 ]. We also calculated these scores and compared them to the immunological parameters.…”

“…The adapted Heart Donor Score (aHDS) used the original HDS (except for the variables of valve function, left ventricular hypertrophy and history of drug abuse). Beta estimates (log odds ratios) of this multivariable regression model were then used as points for the calculation of the aHDS, and they were summarized and expressed as aHDS [ 10 ].…”