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The Journal of Heart and Lung Transplantation
International Society for Heart and Lung Transplantation.
Editorial| Volume 42, ISSUE 3, P354-355, March 2023

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Implications of and potential solutions for the weekend effect in heart transplantation

Published:December 07, 2022DOI:https://doi.org/10.1016/j.healun.2022.11.010
      Donor-recipient matching is a complex decision process requiring the integration of multiple factors and a holistic view of the situation from both the donor and recipient perspectives. Donor/recipient sizes, ages, comorbidities, travel distances, anticipated ischemic times, studies on the donor organ, and other metrics must all be combined by transplant clinicians into a single decision to accept or decline a particular offer. Moreover, features such as the stability of the donor or recipient can change in real time, so even well-considered plans must constantly be re-evaluated.
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      References

        • Greenberg JW
        • Fatuzzo SH
        • Ramineni A
        • et al.
        Heart transplant offers are less likely to be accepted on weekends, holidays, and conferences [e-pub ahead of print].
        J Heart Lung Transplant. 2022; (accessed December 20, 2022)https://doi.org/10.1016/j.healun.2022.10.018
        • Kostis WJ
        • Demissie K
        • Marcella SW
        • et al.
        Weekend vsweekday admission and mortality from myocardial infarction.
        N Engl J Med. 2007; 356: 1099-1109
        • Pauls LA
        • Johnson-Paben R
        • McGready J
        • Murphy JD
        • Pronovost PJ
        • Wu CL
        The weekend effect in hospitalized patients: a meta-analysis.
        J Hosp Med. 2017; 12: 760-766
        • Bluemke DA
        • Kronmal RA
        • Lima JA
        • et al.
        The relationship of left ventricular mass and geometry to incident cardiovascular events: the MESA (Multi-Ethnic Study of Atherosclerosis) study.
        J Am Coll Cardiol. 2008; 52: 2148-2155
        • Kawut SM
        • Lima JA
        • Barr RG
        • et al.
        Sex and race differences in right ventricular structure and function: the multi-ethnic study of atherosclerosis-right ventricle study.
        Circulation. 2011; 123: 2542-2551
        • Khush KK
        • Cherikh WS
        • Chambers DC
        • et al.
        The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Thirty-sixth adult heart transplantation report - 2019; focus theme: donor and recipient size match.
        J Heart Lung Transplant. 2019; 38: 1056-1066
        • Kransdorf EP
        • Kittleson MM
        • Benck LR
        • et al.
        Predicted heart mass is the optimal metric for size match in heart transplantation.
        J Heart Lung Transplant. 2019; 38: 156-165