OPTN/SRTR 2020 Annual Data Report: Heart

M Colvin1,2, J M Smith1,3, Y Ahn1

  • 1Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN.

Insights

The COVID-19 pandemic impacted heart transplants in 2020, with fewer new listings but increased adult transplants. Adult post-transplant mortality shows a slight short-term rise but a long-term decrease.

Area of Science:

  • Cardiology and Transplant Surgery
  • Public Health and Epidemiology

Background:

  • The implementation of a new adult heart allocation policy coincided with the COVID-19 pandemic.
  • The pandemic presented unique challenges to organ donation and transplantation processes.

Purpose of the Study:

  • To analyze the impact of the COVID-19 pandemic on heart transplant activity and outcomes.
  • To evaluate trends in adult and pediatric heart transplant listings and procedures.
  • To assess post-transplant mortality rates in adult and pediatric recipients.

Main Methods:

  • Retrospective analysis of heart transplant data from 2019 and 2020.
  • Comparison of transplant listings, procedures, and post-transplant mortality rates.
  • Stratification of data by recipient age (adult vs. pediatric) and time points (6 months, 1, 3, and 5 years post-transplant).

Main Results:

  • Adult heart transplants increased to 3715 in 2020, despite a slight decrease in total new listings.
  • Pediatric heart transplants declined in 2020.
  • Adult short-term post-transplant mortality saw a slight increase, while long-term mortality showed a downward trend.

Conclusions:

  • The adult heart allocation policy and pandemic influenced transplant volumes differently for adults and pediatric recipients.
  • While short-term survival post-adult heart transplant has slightly worsened, long-term outcomes continue to improve.
  • Ongoing monitoring is crucial to understand the long-term effects of the policy and pandemic on heart transplantation.

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