Colvin M, Smith J M, Skeans M A, Edwards L B, Callahan E R, Snyder J J, Israni A K, Kasiske B L
Department of Cardiology, University of Michigan, Ann Arbor, MI.
Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN.
Am J Transplant. 2016 Jan;16 Suppl 2:115-40. doi: 10.1111/ajt.13670.
As the number of candidates listed for heart transplant continues to rise, it is encouraging that the number of heart transplants also continues to rise steadily each year. Evaluation of waitlist activity demonstrates a growing number of adult candidates removed from the list due to undergoing transplant, but also growing numbers of adult candidates added to the list over the past 3 years. In 2014, 2679 heart transplants were performed, an increase of 28.4% since 2003, and the number of people living with a transplanted heart continued to increase. The number of new pediatric candidates added to the heart transplant waiting list increased to 593 in 2014. The number of pediatric heart transplants performed each year increased from 293 in 2003 to 410 in 2014. Almost 60% of pediatric candidates waiting on December 31, 2014, had been waiting for less than 1 year, compared with 43.0% in 2004. Among pediatric patients who underwent transplant in 2008-2012, overall cumulative incidence of death at 1, 3, and 5 years was 9.2%, 14.7%, and 18.3%, respectively.
随着列入心脏移植候选名单的人数持续上升,令人鼓舞的是心脏移植的数量每年也在稳步持续增长。对等待名单活动的评估表明,由于接受移植,从名单上移除的成年候选者数量不断增加,但在过去3年里,加入名单的成年候选者数量也在增加。2014年,共进行了2679例心脏移植手术,自2003年以来增长了28.4%,接受心脏移植的存活人数也在持续增加。2014年,新增加入心脏移植等待名单的儿科候选者人数增至593人。每年进行的儿科心脏移植手术数量从2003年的293例增至2014年的410例。2014年12月31日等待移植的儿科候选者中,近60%等待时间不到1年,而2004年这一比例为43.0%。在2008 - 2012年接受移植的儿科患者中,1年、3年和5年的总体累积死亡率分别为9.2%、14.7%和18.3%。