초록접수 현황
| 20F-153 | 구연 발표 |
Impact of a multidisciplinary team approach on the outcomes of heart transplant patients
Jun Ho Lee1, Joo Yeon Kim2, Ilkun Park3, Kiick Sung3, Wook Sung Kim3, Darae Kim4, Jeong Hoon Yang4, Eun-Seok Jeon4, Jin-Oh Choi4, and Yang Hyun Cho3
1Department of Thoracic and Cardiovascular Surgery, Hanyang University Medical Center, Hanyang University School of Medicine, Seoul, Republic of Korea
2Department of Thoracic and Cardiovascular Surgery, Mediplex Sejong Hospital, Incheon, Republic of Korea
3Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
4Department of Cardiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
Purpose : The study aimed to investigate the impact of a multidisciplinary team (MDT) approach on the outcomes of heart transplant (HTx) patients in a HTx developing country.
Methods : The MDT for HTx patients at a single tertiary center was established in January 2014, and all medical records of HTx patients from December 2003 to June 2018 were retrospectively reviewed. 250 adult (≥ 18 years old) patients were finally enrolled in this study and subdivided into the Non-MDT group (n = 120; without the MDT approach before 2014) and the MDT group (n = 130; supported with the MDT approach since 2014). The primary outcome was overall mortality. Secondary outcomes were independent predictors associated with overall mortality.
Results : The mean age of HTx recipients was 51.0 ± 13.7 years (median, 54.0 years), and 77 (30.8%) patients were female. The incidence of pre-HTx extracorporeal life support (ECLS) had a significant difference between two groups (23.3% in the Non-MDT group and 49.2% in the MDT group; p < 0.001), and the incidence of post-HTx ECLS did not differ significantly between two group groups (10.0% in the Non-MDT group and 13.8% in the MDT group; p = 0.350). In the multivariable analysis, the MDT approach was an independent predictor associated with overall mortality.
Conclusion : High-intensity management with the MDT approach was associated with improvement of outcomes after HTx even in high risk recipients, as compared with those of the Non-MDT group.
Methods : The MDT for HTx patients at a single tertiary center was established in January 2014, and all medical records of HTx patients from December 2003 to June 2018 were retrospectively reviewed. 250 adult (≥ 18 years old) patients were finally enrolled in this study and subdivided into the Non-MDT group (n = 120; without the MDT approach before 2014) and the MDT group (n = 130; supported with the MDT approach since 2014). The primary outcome was overall mortality. Secondary outcomes were independent predictors associated with overall mortality.
Results : The mean age of HTx recipients was 51.0 ± 13.7 years (median, 54.0 years), and 77 (30.8%) patients were female. The incidence of pre-HTx extracorporeal life support (ECLS) had a significant difference between two groups (23.3% in the Non-MDT group and 49.2% in the MDT group; p < 0.001), and the incidence of post-HTx ECLS did not differ significantly between two group groups (10.0% in the Non-MDT group and 13.8% in the MDT group; p = 0.350). In the multivariable analysis, the MDT approach was an independent predictor associated with overall mortality.
Conclusion : High-intensity management with the MDT approach was associated with improvement of outcomes after HTx even in high risk recipients, as compared with those of the Non-MDT group.
책임저자: Yang Hyun Cho
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
발표자: Jun Ho Lee, E-mail : ps-gamer@hanmail.net