[THE MAIN CRITERIA FOR SELECTING PATIENTS WHEN FORMING A WAITING LIST FOR HEART TRANSPLANTATION]

O Tanska1, Yu Ostrovsky1, A Valentyukevich1

  • 1KL «Feofania», Center of cardiac surgery, Kyiv, Ukraine; Republican Scientific and Practical Center «Cardiology», Minsk, Republic of Belarus.

Georgian Medical News
|March 4, 2021
PubMed

Insights

This study optimized heart transplant waiting list selection criteria using international data and patient monitoring. New criteria were implemented in Ukraine, improving patient selection for heart transplantation.

Area of Science:

  • Cardiology
  • Transplantation Medicine
  • Health Services Research

Background:

  • Optimizing patient selection for heart transplantation is crucial for improving outcomes.
  • Existing international data and criteria require adaptation for local healthcare systems.
  • Heart failure patients face challenges in accessing timely transplantation.

Purpose of the Study:

  • To optimize patient selection methods for heart transplant waiting lists.
  • To develop and implement novel selection criteria based on international data.
  • To analyze the dynamics of patients on the heart transplant waiting list in Ukraine.

Main Methods:

  • Analysis of international data and existing selection criteria.
  • Survey data collection and dynamic monitoring of 49 heart failure patients (2008-2018).
  • Comparison of two groups: patients with (n=24) and without (n=25) circulatory support on the waiting list.

Main Results:

  • Developed and implemented a "road map" for heart transplant recipients in Ukraine.
  • Identified risk factors impacting long-term outcomes and quality of life in heart failure patients (NYHA Class III-IV).
  • Established specific criteria for primary heart transplantation selection.

Conclusions:

  • The study successfully developed and implemented optimized criteria for heart transplant waiting lists in Ukraine.
  • The new criteria aim to improve patient selection and long-term outcomes.
  • This work represents a significant advancement in heart transplantation protocols in Ukraine.

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