The status of heart transplantation in Taiwan, 2005-2010.
Heart transplantation (HT) is the standard therapy used to treat end-stage heart disease. Taiwan Organ Registry and Sharing Center (TORSC) is a registry and database of organ donations and transplantations. To understand the profiles of heart donors and recipients is crucial for efficient utilization. Data was provided by the TORSC and 487 HT were performed from 2005 to 2010. The main causes of donor brain death were head injury (n = 243; 51.1%) and cerebrovascular accidents/strokes (n = 147; 30.9%). The mean age of the recipients was 46.3 ± 14.6 years, and 80.3% were men (n = 391). Physicians and nurses were responsible for most organ procurement. In multivariate analysis, considering donor and recipient gender, donor and recipient age, and donor-to-recipient weight ratio as independent variables, factors that were significantly predictive of graft survival were donor age (hazard rate [HR], 1.02; 95% confidence interval [CI], 1.00-1.03; P = .01) and recipient age (HR, 1.03; 95% CI, 1.01-1.04; P < .01). Our results showed that age is a determinant of allograft survival and healthcare professionals are the primary impetus for obtaining consent for organ donation.
Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan.
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Lee
Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan.
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Lin
Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan.
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Tsai
Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan.
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CY
Lee
Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan.
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Hsu
Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan.
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YC
Lin
Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan.
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Yang
Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan.
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Kao
Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan.
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Song
Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan.
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Sung
Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
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Lin
Department of Pathology, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan.
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Lee
Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan; Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan. Electronic address: sung1500@mail.ndmctsgh.edu.tw.
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Tsai
D000328:Adult; D005260:Female; D006085:Graft Survival; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D013624:Taiwan