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Heart transplantation: initial results in Scotland
D Richens1, S K Naik, D J Wheatley
1University Department of Cardiac Surgery, Royal Infirmary, Glasgow.
Scottish Medical Journal
|February 1, 1994
Summary
The Scottish heart transplant program achieved zero 30-day mortality and 87% 18-month survival in its initial phase. This demonstrates the program
Area of Science:
- Cardiology
- Transplant Surgery
- Public Health
Background:
- Heart transplantation is a critical treatment for end-stage heart failure.
- Evaluating early outcomes of new transplant programs is essential for patient care and resource allocation.
Purpose of the Study:
- To assess the initial success and outcomes of the heart transplant program in Scotland.
- To report on patient survival, mortality, and complication rates within the first 18 months post-transplant.
Main Methods:
- Retrospective analysis of 164 referred patients between January 1992 and September 1993.
- Detailed data collection on patient selection, transplant procedures, and post-operative outcomes.
- Calculation of mortality, intensive care unit (ICU) stay, hospital discharge times, and actuarial survival rates.
Main Results:
- 39 orthotopic heart transplants were performed with zero 30-day mortality.
- Mean ICU stay was 46.35 hours; mean hospital discharge was 17.03 days.
- Eighteen-month actuarial survival was 87%, with deaths attributed to infection and neoplasia. Mean time to rejection was 38.54 days.
Conclusions:
- The heart transplant program in Scotland demonstrated significant success in its initial phase.
- Low operative mortality and favorable short-to-medium term survival rates were achieved.
- The program established a strong foundation for future cardiac transplantation services in Scotland.