Evidence map›Paper›PMID 31711761›Full record

ArticleThe Journal of pediatrics2020

Heart Transplantation in Children with Mitochondrial Disease.

Jeffrey G Weiner, Andrea N Lambert, Cary Thurm, Matt Hall, Jonathan H Soslow, Tyler E Reimschisel, David W Bearl, Debra A Dodd, Brian Feingold, Justin Godown

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Mitochondrial DNA depletion syndrome and its cardiac complication.Frontiers in cardiovascular medicine · 2025
    Review
  4. Article
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Jeffrey G WeinerDepartment of Pediatric Cardiology, Monroe Carell Jr. Children's Hospital, Nashville, TN. Electronic address: jeffrey.g.weiner@vumc.org.
Andrea N LambertDepartment of Pediatric Cardiology, Monroe Carell Jr. Children's Hospital, Nashville, TN.
Cary ThurmChildren's Hospital Association, Lenexa, KS.
Matt HallChildren's Hospital Association, Lenexa, KS.
Jonathan H SoslowDepartment of Pediatric Cardiology, Monroe Carell Jr. Children's Hospital, Nashville, TN.
Tyler E ReimschiselDepartment of Pediatrics, Monroe Carell Jr. Children's Hospital, Nashville, TN.
David W BearlDepartment of Pediatric Cardiology, Monroe Carell Jr. Children's Hospital, Nashville, TN.
Debra A DoddDepartment of Pediatric Cardiology, Monroe Carell Jr. Children's Hospital, Nashville, TN.
Brian FeingoldDepartment of Pediatrics and Clinical and Translational Science, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Justin GodownDepartment of Pediatric Cardiology, Monroe Carell Jr. Children's Hospital, Nashville, TN.
Monroe Carell Jr. Children's Hospital · USChildren's Hospital Association · USUniversity of Pittsburgh · US

Funding

Developmental Determinants of Cardiovascular DiseaseT32HL105334 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BALDWIN, H SCOTT · 2011 to 2021
$4.3M
Quantitative Assessment of Cardiac Disease in Duchenne Muscular DystrophyK23HL123938 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SOSLOW, JONATHAN HARVEY · 2014 to 2018
$829k
NHLBI NIH HHS K23 HL123938NHLBI NIH HHS T32 HL105334
6 · The paper itself

Abstract

objectivesTo compare the outcomes and comorbidities of children with mitochondrial disease undergoing heart transplantation with children without mitochondrial disease. STUDY

designUsing a unique linkage between the Pediatric Health Information System and Scientific Registry of Transplant Recipients databases, pediatric heart transplantation recipients from 2002 to 2016 with a diagnosis of cardiomyopathy were included. Post heart transplantation survival and morbidities were compared between patients with and without mitochondrial disease.

resultsA total of 1330 patients were included, including 47 (3.5%) with mitochondrial disease. Survival after heart transplantation was similar between patients with and without mitochondrial disease over a median follow-up of 4 years. Patients with mitochondrial disease were more likely to have a stroke after heart transplantation (11% vs 3%; P = .009), require a longer duration of mechanical ventilation after heart transplantation (3 days vs 1 day; P < .001), and have a longer intensive care unit stay after heart transplantation (10 vs 6 days; P = .007). The absence of a hospital readmission within the first post-transplant year was similar among patients with and without mitochondrial disease (61.7% vs 51%; P = .14). However, patients with mitochondrial disease who were readmitted demonstrated a longer length of stay compared with those without (median, 14 days vs 8 days; P = .03).

conclusionsPatients with mitochondrial disease can successfully undergo heart transplantation with survival comparable with patients without mitochondrial disease. Patients with mitochondrial disease have greater risk for post-heart transplantation morbidities including stroke, prolonged mechanical ventilation, and longer intensive care unit and readmission length of stay. These results suggest that the presence of mitochondrial disease should not be an absolute contraindication to heart transplantation in the appropriate clinical setting.

Indexed as

Heart TransplantationAdolescentCardiomyopathiesCase-Control StudiesChildChild, PreschoolComorbidityFemaleHumansInfantIntensive Care UnitsLength of StayMaleMitochondrial DiseasesPatient ReadmissionPostoperative Complications▪▪▪

Identifiers

PMID31711761
PMCPMC7012680
OpenAlexW2984220440

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.