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Updated: Dec 31, 2025

Semi-automated Optical Heartbeat Analysis of Small Hearts
Published on: September 16, 2009
OPTN/SRTR 2018 Annual Data Report: Heart
Insights
Heart transplant data from 2018 shows increased transplants and improved survival rates. While the new adult heart allocation policy
Area of Science:
- Cardiology
- Transplant Surgery
- Public Health Policy
Background:
- The adult heart allocation policy was updated in 2016 and implemented in October 2018.
- 2018 data collection is expected to provide more detailed insights for future analyses.
- Candidate listings for heart transplantation continued to rise in 2018.
Purpose of the Study:
- To analyze 2018 heart transplant data, including candidate listings and performed procedures.
- To assess short-term and long-term posttransplant mortality trends.
- To evaluate survival rates for adult and pediatric heart transplant recipients.
Main Methods:
- Analysis of national heart transplant data from 2018.
- Comparison of 2018 transplant numbers with 2017.
- Review of survival and mortality data for adult and pediatric recipients from various transplant cohorts.
Main Results:
- In 2018, 3883 adult and 685 pediatric candidates were added to the waiting list.
- A total of 3440 heart transplants were performed in 2018, an increase of 167 from 2017.
- Posttransplant mortality showed improvement in both short-term and long-term outcomes for adult recipients, with 1-year survival at 90.3% for the 2011-2013 cohort.
Conclusions:
- 2018 data indicates an increase in heart transplant activity and positive trends in patient survival.
- Further analysis of granular data is anticipated to better understand the impact of the new allocation policy.
- Improved short-term and long-term outcomes highlight advancements in heart transplantation.
Abstract:
The new adult heart allocation policy was approved in 2016 and implemented in October 2018, so its effect was not yet evident in 2018 data. However, the more granular data being collected are anticipated to allow for improved analyses. In 2018, new listings continued to increase; 3883 new adult and 685 new pediatric candidates were added. In 2018, 3440 heart transplants were performed, an increase of 167 over 2017; 473 transplants occurred in pediatric recipients and 2967 in adult recipients. Short-term and long-term posttransplant mortality improved. Overall 1-year survival for adults who underwent heart transplant in 2011-2013 was 90.3%, 3-year survival was 84.7%, and 5-year survival was 79.6%. Mortality rates for pediatric recipients were 4.5% at 6 months and in 5.9% at 1 year posttransplant, 12.5% at 3 years for transplants in 2014-2015, 14.8% at 5 years for transplants in 2012-2013, and 29.8% at 10 years for transplants performed in 2008-2009.
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