Division of Pediatric Cardiology, Department of Pediatrics, Mayo Clinic, Rochester, Minnesota.
Labatt Family Heart Centre, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
J Heart Lung Transplant. 2017 Aug;36(8):823-829. doi: 10.1016/j.healun.2017.02.023. Epub 2017 Feb 28.
With improving outcomes after thoracic transplantation, more children are surviving to adulthood and requiring specialized adult care. A systematic and effective program is essential to transition these patients from a pediatric to adult health care setting. In this review, we discuss the concept of transition and the factors leading to an effective transfer to an adult care provider, including administrative support, patient/provider preparation, and the navigation of potential barriers. Notably, there is a paucity of data for many details of transition, making this a significant opportunity for future research.
随着胸外科移植术后效果的改善，越来越多的儿童能够存活至成年期，并需要专门的成人护理。一个系统和有效的计划对于将这些患者从儿科医疗环境过渡到成人医疗保健环境至关重要。在这篇综述中，我们讨论了过渡的概念以及导致向成人护理提供者有效转移的因素，包括行政支持、患者/提供者准备以及潜在障碍的解决。值得注意的是，对于过渡的许多细节缺乏数据，这为未来的研究提供了一个重要机会。
