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Summary of Objectives
Recent changes in organ allocation policy address geographic disparities in access
to donors in heart and lung transplant candidates. Consequently, new policies also
increase logistic organ recovery challenges for transplant centers. Greater opportunity,
efficiency, improved quality, and better outcomes may be realized with the adoption
of a dedicated Specialized Thoracic Adapted Recovery (STAR) team model for heart and
lung transplant programs. Previous studies highlight the benefits of regionalized
abdominal donor organ recovery teams. The objective of this 13-year multi-center prospective
study, including 1000 cases, is to demonstrate the benefits of the STAR model in heart
and lung transplantation.
Methods
We report a 13-year multi-center experience in heart and lung transplantation. Since
2010, over 1000 consecutive heart and lung transplant recovery and evaluation cases
were performed using a dedicated Specialized Thoracic Adapted Recovery (STAR) team
model. Heart and lung donor recovery protocols and techniques, including organ evaluation
and preservation solution, were standardized for each recovery over time to ensure
consistency with each heart and lung organ recovered. During the 13-year study period,
patient outcomes were compared to previous years and centers not using the STAR team
model.
Endpoints
Study endpoints include: • Number of donor heart and lung recoveries performed by
the STAR teams: 1006 • Number of heart and lung transplant cases in 13-years study
period (2005-2018): TBD • Perioperative outcomes and early donor graft dysfunction:
Center Specific SRTR Data • Heart transplant survival: Center Specific SRTR Data •
Lung transplant survival: Center Specific SRTR Data • Transplant program quality measures
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Copyright
© 2019 Published by Elsevier Inc.
