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Updated: Jul 23, 2026

Semi-automated Optical Heartbeat Analysis of Small Hearts
Published on: September 16, 2009
OPTN/SRTR 2019 Annual Data Report: Heart
Insights
The 2018 adult heart allocation policy shows improved short- and long-term survival rates for heart transplant recipients. This policy change has positively impacted patient outcomes following cardiac transplantation.
Area of Science:
- Cardiology
- Transplant Surgery
- Public Health Policy
Background:
- The adult heart allocation policy was enacted in 2016 and implemented in October 2018.
- The 2019 Annual Data Report offers initial findings on the policy's impact.
Purpose of the Study:
- To evaluate the early effects of the new adult heart allocation policy.
- To analyze trends in heart listings and transplants in 2019.
- To assess posttransplant mortality rates following the policy implementation.
Main Methods:
- Analysis of heart transplant data from the 2019 Annual Data Report.
- Comparison of transplant numbers and recipient demographics (adults vs. children).
- Examination of short-term (6 months, 1 year) and long-term (3 years, 5 years) mortality rates.
Main Results:
- In 2019, there were 4086 new heart transplant candidates and 3597 heart transplants performed (a 4.6% increase from 2018).
- Transplants included 509 pediatric and 3088 adult recipients.
- Posttransplant mortality rates demonstrated improvement across both adult and pediatric recipients compared to previous cohorts.
Conclusions:
- The new adult heart allocation policy appears to be associated with improved survival outcomes.
- Continued monitoring is essential to fully understand the long-term effects of the policy.
- The data indicates a positive trend in heart transplantation following the policy's implementation.
Abstract:
The new adult heart allocation policy was approved in 2016 and implemented in October 2018. This year's Annual Data Report provides early insight into the effects of this policy. In 2019, new listings continued to increase, with 4086 new candidates. Also in 2019, 3597 heart transplants were performed, an increase of 157 (4.6%) from 2018; 509 transplants occurred in children and 3088 in adults. Short- and long-term posttransplant mortality rates improved. Overall, Mortality rates for adult recipients were 6.4% at 6 months and 7.9% at 1 year for transplants in 2018, 14.4% at 3 years for transplants in 2016, and 20.1% at 5 years for transplants in 2014. Mortality rates for pediatric recipients were 6.3% at 6 months and 8.2% at 1 year for transplants in 2018, 10.3% at 3 years for transplants in 2016, and 17.8% at 5 years for transplants in 2014.
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