Evidence map›Paper›PMID 34582759›Full record

ArticleThe Annals of thoracic surgery2022

Postoperative Outcomes in Infants Undergoing ABO-incompatible Heart Transplantation in the United States.

Dhaval Chauhan, Vittorio Orlandi, Taufiek Konrad Rajab, Kareem Bedeir, Alexander Volfovsky, Suyog Mokashi

Open access · greenAbstract read
In one paragraph

Article in The Annals of thoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Dhaval ChauhanDivision of Pediatric Cardiac Surgery, Emory University School of Medicine, Atlanta, Georgia. Electronic address: dhavalchauhan86@gmail.com.
Vittorio OrlandiDepartment of Statistical Science, Duke University, Durham, North Carolina.
Taufiek Konrad RajabDivision of Pediatric Cardiac Surgery, Medical University of South Carolina, Charleston, South Carolina.
Kareem BedeirIMC Cardio-Thoracic & Vascular Surgical Associates, Mobile, Alabama.
Alexander VolfovskyDepartment of Statistical Science, Duke University, Durham, North Carolina.
Suyog MokashiDepartment of Surgery, Division of Cardiothoracic Surgery, Creighton University School of Medicine, Omaha, Nebraska.
Duke University · USCreighton University · USEmory University · USMedical University of South Carolina · USUniversity Surgical Associates · US

Funding

QuBBD: Matching Methods for causaul inference: big data and networkR01EB025021 · NIBIB · DUKE UNIVERSITY · PI VOLFOVSKY, ALEXANDER · 2017 to 2019
$947k
NIBIB NIH HHS R01 EB025021
6 · The paper itself

Abstract

backgroundABO-incompatible heart transplant is a method to increase the infant donor pool. However data on long-term survival and rejection after ABO-incompatible heart transplant in recent era are limited.

methodsThe United Network for Organ Sharing database was queried for infant heart transplants performed from January 2008 to March 2020. Patient demographics and known risk factors for posttransplant mortality were collected. Statistical analysis using Bayesian additive regression trees was performed to evaluate the association of ABO incompatibility and overall survival, graft survival, acute rejection episodes, and length of stay.

resultsOf 1368 included infants (age < 1 year), 280 (20.47%) were ABO incompatible. ABO incompatibility was not associated with increased all-cause mortality, acute rejection episodes, or length of stay, whereas extracorporeal membrane oxygenation and intubation status of the recipient at the time of transplantation were associated with increased all-cause mortality and graft failure. Idiopathic cardiomyopathy was associated with a decreased likelihood of posttransplant all-cause mortality. One-, 5-, and 10-year survival rates among compatible vs incompatible transplants were estimated to be 90% vs 88%, 82% vs 79%, and 77% vs 73%, respectively.

conclusionsABO-incompatible infant heart transplant does not affect posttransplant survival, incidence of rejection, or postoperative length of stay. Therefore it remains a viable and important strategy to increase the infant donor pool.

Indexed as

Blood Group IncompatibilityHeart TransplantationABO Blood-Group SystemBayes TheoremGraft RejectionGraft SurvivalHumansInfantUnited StatesABO Blood-Group System

Identifiers

PMID34582759
PMCPMC8948097
OpenAlexW3202462498

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.