{"id":"https://openalex.org/W1978289232","doi":"https://doi.org/10.1097/00007890-199805131-00404","title":"LONG TERM MORTALITY AND MORBIDITY WITH THE USE OF OLDER DONORS IN CARDIAC TRANSPLANTATION: A SINGLE CENTER EXPERIENCE","display_name":"LONG TERM MORTALITY AND MORBIDITY WITH THE USE OF OLDER DONORS IN CARDIAC TRANSPLANTATION: A SINGLE CENTER EXPERIENCE","publication_year":1998,"publication_date":"1998-05-01","ids":{"openalex":"https://openalex.org/W1978289232","doi":"https://doi.org/10.1097/00007890-199805131-00404","mag":"1978289232"},"language":"en","primary_location":{"id":"doi:10.1097/00007890-199805131-00404","doi":"https://doi.org/10.1097/00007890-199805131-00404","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00007890-199805131-00404","pdf_url":null,"source":{"id":"https://openalex.org/S11564597","display_name":"Transplantation","issn_l":"0041-1337","issn":["0041-1337","1534-6080"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Transplantation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111584620","display_name":"Katherine J. Hoercher","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K Hoercher","raw_affiliation_strings":["Cleveland Clinic Foundation, Cleveland OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland Clinic Foundation, Cleveland OH","institution_ids":["https://openalex.org/I1316902750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006688566","display_name":"James B. Young","orcid":"https://orcid.org/0000-0003-2785-1617","observed_orcids":["https://orcid.org/0000-0003-2785-1617"]},"institutions":[{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J B Young","raw_affiliation_strings":["Cleveland Clinic Foundation, Cleveland OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland Clinic Foundation, Cleveland OH","institution_ids":["https://openalex.org/I1316902750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061706688","display_name":"Patrick M. McCarthy","orcid":"https://orcid.org/0000-0001-6729-2405","observed_orcids":["https://orcid.org/0000-0001-6729-2405"]},"institutions":[{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"P M McCarthy","raw_affiliation_strings":["Cleveland Clinic Foundation, Cleveland OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland Clinic Foundation, Cleveland OH","institution_ids":["https://openalex.org/I1316902750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078154139","display_name":"Nicholas Gerard Smedira","orcid":"https://orcid.org/0000-0002-4963-8588","observed_orcids":["https://orcid.org/0000-0002-4963-8588"]},"institutions":[{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"N Smedira","raw_affiliation_strings":["Cleveland Clinic Foundation, Cleveland OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland Clinic Foundation, Cleveland OH","institution_ids":["https://openalex.org/I1316902750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041756550","display_name":"Lori Lyn Price","orcid":"https://orcid.org/0000-0003-0664-8978","observed_orcids":["https://orcid.org/0000-0003-0664-8978"]},"institutions":[{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L L Price","raw_affiliation_strings":["Cleveland Clinic Foundation, Cleveland OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland Clinic Foundation, Cleveland OH","institution_ids":["https://openalex.org/I1316902750"]}]},{"author_position":"last","author":{"id":null,"display_name":"K W Stewart","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K W Stewart","raw_affiliation_strings":["Cleveland Clinic Foundation, Cleveland OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland Clinic Foundation, Cleveland OH","institution_ids":["https://openalex.org/I1316902750"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1316902750"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"65","issue":"Supplement","first_page":"180","last_page":"180"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11189","display_name":"Transplantation: Methods and Outcomes","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11189","display_name":"Transplantation: Methods and Outcomes","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10999","display_name":"Organ Transplantation Techniques and Outcomes","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11163","display_name":"Organ Donation and Transplantation","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/heart-transplantation","display_name":"heart transplantation","score":0.734000027179718},{"id":"https://openalex.org/keywords/older-donors","display_name":"elderly donors","score":0.7360000014305115},{"id":"https://openalex.org/keywords/long-term-survival","display_name":"long-term survival","score":0.753000020980835},{"id":"https://openalex.org/keywords/post-transplant-mortality","display_name":"post-transplant mortality","score":0.9139999747276306},{"id":"https://openalex.org/keywords/post-transplant-morbidity","display_name":"post-transplant morbidity","score":0.9089999794960022}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9396349191665649},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5946429967880249},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5451809763908386},{"id":"https://openalex.org/C2780073493","wikidata":"https://www.wikidata.org/wiki/Q7523837","display_name":"Single Center","level":2,"score":0.5214609503746033},{"id":"https://openalex.org/C2778849806","wikidata":"https://www.wikidata.org/wiki/Q643396","display_name":"Heart transplantation","level":3,"score":0.5142454504966736},{"id":"https://openalex.org/C2911091166","wikidata":"https://www.wikidata.org/wiki/Q106419912","display_name":"Transplantation","level":2,"score":0.4809671938419342},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4577121138572693},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.45592594146728516},{"id":"https://openalex.org/C2778797674","wikidata":"https://www.wikidata.org/wiki/Q847583","display_name":"Cardiomyopathy","level":3,"score":0.4371316432952881},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.28512465953826904},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/00007890-199805131-00404","doi":"https://doi.org/10.1097/00007890-199805131-00404","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00007890-199805131-00404","pdf_url":null,"source":{"id":"https://openalex.org/S11564597","display_name":"Transplantation","issn_l":"0041-1337","issn":["0041-1337","1534-6080"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Transplantation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8799999952316284}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2008559100","https://openalex.org/W2192322256","https://openalex.org/W4246341479","https://openalex.org/W4248071652","https://openalex.org/W2889249133","https://openalex.org/W2920799706","https://openalex.org/W4239442716","https://openalex.org/W4416303831","https://openalex.org/W2887940946","https://openalex.org/W4298628518"],"abstract_inverted_index":{"406":[0],"Purpose:":[1],"Multicenter":[2],"registries":[3],"continue":[4],"to":[5,31,226,260,278,296,304],"demonstrate":[6],"a":[7,182,208,262],"statistically":[8],"significant":[9,157,183,210],"decrease":[10],"in":[11,13,112,137,150,159,185,212,218],"survival":[12,177,268],"those":[14],"recipients":[15,307],"who":[16,80],"receive":[17],"donor":[18,221,229,251,281,294],"hearts":[19,82,99,252],"greater":[20,85],"than":[21,86],"fifty":[22],"years":[23],"old.":[24],"The":[25,247],"purpose":[26],"of":[27,37,76,94,127,134,146,162,174,215,234,249,273,291],"this":[28,292],"study":[29],"was":[30,155],"determine":[32],"if":[33],"our":[34,43,65,254,305],"continued":[35],"practice":[36],"using":[38],"older":[39,220,250,293,306],"heart":[40],"donors":[41,84,101],"at":[42,64,143,242,253],"center":[44],"has":[45,256],"negatively":[46],"impacted":[47],"early":[48,186],"and":[49,52,70,125,308],"late":[50],"mortality":[51,189,197],"morbidity":[53],"post-transplant(Tx).":[54],"Methods:":[55],"464":[56],"adult":[57],"patients":[58],"(pts)":[59],"underwent":[60],"primary":[61],"cardiac":[62],"Tx":[63,147],"institution":[66,255],"between":[67],"January":[68],"1990":[69],"November":[71],"1997.":[72],"Group":[73,91,151],"1":[74,142],"consisted":[75,93],"54":[77,115],"pts":[78,96,136,236],"(12%)":[79],"received":[81],"from":[83,100,239],"age":[87,102,113],"50":[88,103,117],"(51-67;":[89],"mean=55).":[90],"2":[92],"410":[95],"(88%)":[97],"receiving":[98],"or":[104,168,194],"less":[105],"(10-50;mean=30).":[106],"Both":[107],"recipient":[108],"groups":[109],"were":[110,139,237],"similar":[111],"(mean":[114],"vs":[116,122,131,165,171,191,199,232],"yrs),":[118],"gender":[119],"(males":[120],"68%":[121],"80%":[123],"p=ns),":[124],"incidence":[126,272],"ischemic":[128],"cardiomyopathy":[129],"(53%":[130],"52%).":[132],"81%":[133,200],"the":[135,144,175,213,219,227,235,279,289,302,310],"Group1":[138],"UNOS":[140],"status":[141],"time":[145],"versus":[148],"73%":[149],"2.":[152],"Results:":[153],"There":[154],"no":[156],"difference":[158,184,211],"post-op":[160],"length":[161],"stay":[163],"(19":[164],"17":[166],"days)":[167],"hospital":[169],"mortality(3.7%":[170],"5.8%).":[172],"Results":[173],"Kaplan-Meier":[176],"analysis":[178],"did":[179],"not":[180,257],"show":[181],"(30":[187],"day)":[188],"(96%":[190],"94%":[192],"p=ns)":[193],"late(48":[195],"months)":[196],"(88%":[198],"p=ns).":[201],"At":[202],"36":[203,243],"months":[204,244],"post-tx":[205],"there":[206],"is":[207],"highly":[209],"development":[214],"allograft":[216,240,274],"disease":[217,241,275],"cohort":[222],"(Group1)":[223],"when":[224,276],"compared":[225,277],"younger":[228,280],"group(GroupII).":[230],"52%":[231],"84%":[233],"free":[238],"post-Tx.":[245],"Conclusion:":[246],"use":[248,290,303],"been":[258],"shown":[259],"have":[261],"negative":[263],"impact":[264],"on":[265,284],"long":[266],"term":[267],"despite":[269],"an":[270],"increased":[271],"group.":[282],"Based":[283],"these":[285],"finding,":[286],"we":[287],"believe":[288],"population":[295],"be":[297],"warranted":[298],"but":[299],"may":[300],"limit":[301],"only":[309],"most":[311],"critical":[312],"pts.":[313],"Figure":[314]},"counts_by_year":[{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2016-06-24T00:00:00"}