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- W2921640117 abstract "Purpose In 2017, 2817 heart transplants (HT) were performed in the United States, up from 1882 10 years prior. With competing therapies now available, a thorough understanding of the distribution of and resources required for HT is required. Utilizing the National Inpatient Sample (NIS), we examined temporal trends and determinants of short-term outcomes of HT. Methods A retrospective analysis of the NIS from 2001-2011 was performed using SPSS, encompassing N=17426 HT from 2001-2011. Both patient specific and center specific characteristics were characterized with t-test and chi-squared where appropriate. Hospitalizations were grouped according to occurrence before or after the 2006 UNOS allocation policy change. Risk factors were identified using univariate and multivariate analyses. Results Of the N= 17426 HTs included in the analysis, N=6924 and N=10502 occurred 2001-2005 and 2006-2011, respectively. Of these, 76% were male, and 70% were Caucasian, which decreased from 2001 to 2011 (81% v 63%, p Conclusion HT is being performed more frequently in recent years than has occurred previously. Although patients are sicker with additional medical comorbidities and active diagnoses in 2011 than 2001, the average LoS and in-hospital mortality rates are decreasing, likely demonstrating improvement in patient-donor matching and management of HT patients. Elective transplant, hospital region, and teaching status play significant roles in short-term outcomes." @default.
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- W2921640117 date "2019-04-01" @default.
- W2921640117 modified "2023-09-27" @default.
- W2921640117 title "Regional and Socioeconomic Distribution, Healthcare Utilization, and In-Hospital Mortality of Heart Transplantation" @default.
- W2921640117 doi "https://doi.org/10.1016/j.healun.2019.01.647" @default.
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