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Research Article
Yang Hyun Cho
Samsung Medical Center, Sungkyunkwan University School of Medicine
Corresponding Author
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Although a multidisciplinary team (MDT) approach is recommended in advanced heart failure and heart transplantation (HTx), no studies have discussed the impact of the team approach on the clinical outcomes of HTx. In 2014, we established an MDT approach in our HTx program with active involvement of teams for critical care and extracorporeal life support (ECLS) using a real-time online information sharing system. We hypothesized that this MDT approach improved the survival of patients who have undergone HTx. In this study, we enrolled 250 adult patients who underwent HTx between December 2003 and June 2018; they were divided into non-MDT (n = 120; before 2014) and MDT (n = 130; since 2014) groups, with the primary outcome being overall mortality. The mean age of HTx recipients was 51.0 ± 13.7 years, and 77 recipients (30.8%) were female. The MDT group had more high-risk patients in terms of age of donors, diabetes, dialysis, ECLS, and waiting time. Various multivariable analytic methods, including inverse-probability-of-treatment-weighting analysis, revealed that the MDT approach was an independent predictor of overall survival. Therefore, collaboration of an HF team, a critical care team, and an ECLS team may improve survival after HTx.
Keywords
Multidisciplinary team, Critical care, Heart failure, Heart transplantation, Extracorporeal life support, Online information sharing
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No competing interests reported.
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- SupplementaryFigureS3.tif
Supplementary Figure S3
- SupplementaryTableS1.docx
Supplementary Table S1
- SupplementaryTableS2.docx
Supplementary Table S2
- SupplementaryTableS3.docx
Supplementary Table S3
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research Article
Yang Hyun Cho
Samsung Medical Center, Sungkyunkwan University School of Medicine
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 25 May, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Cardiothoracic Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Although a multidisciplinary team (MDT) approach is recommended in advanced heart failure and heart transplantation (HTx), no studies have discussed the impact of the team approach on the clinical outcomes of HTx. In 2014, we established an MDT approach in our HTx program with active involvement of teams for critical care and extracorporeal life support (ECLS) using a real-time online information sharing system. We hypothesized that this MDT approach improved the survival of patients who have undergone HTx. In this study, we enrolled 250 adult patients who underwent HTx between December 2003 and June 2018; they were divided into non-MDT (n = 120; before 2014) and MDT (n = 130; since 2014) groups, with the primary outcome being overall mortality. The mean age of HTx recipients was 51.0 ± 13.7 years, and 77 recipients (30.8%) were female. The MDT group had more high-risk patients in terms of age of donors, diabetes, dialysis, ECLS, and waiting time. Various multivariable analytic methods, including inverse-probability-of-treatment-weighting analysis, revealed that the MDT approach was an independent predictor of overall survival. Therefore, collaboration of an HF team, a critical care team, and an ECLS team may improve survival after HTx.
Figure 1
Figure 2
Figure 3
Figure 4
No competing interests reported.
This is a list of supplementary files associated with this preprint. Click to download.
- SupplementaryFigureLegendsRevised.docx
Supplementary Figure Legends
- SupplementaryFigureS1.tif
Supplementary Figure S1
- SupplementaryFigureS2.tif
Supplementary Figure S2
- SupplementaryFigureS3.tif
Supplementary Figure S3
- SupplementaryTableS1.docx
Supplementary Table S1
- SupplementaryTableS2.docx
Supplementary Table S2
- SupplementaryTableS3.docx
Supplementary Table S3
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