Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Initial Report of the Korean Organ Transplant Registry (KOTRY): Heart Transplantation

  • Lee, Hae-Young (Department of Internal Medicine, Seoul National University Hospital) ;
  • Jeon, Eun-Seok (Department of Internal Medicine, Sungkyunkwan University College of Medicine) ;
  • Kang, Seok-Min (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Jae-Joong (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2016.11.09
  • Accepted : 2017.06.23
  • Published : 2017.11.30
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Abstract

Background and Objectives: The Korean Organ Transplant Registry (KOTRY), which was the first national transplant registry in Korea, was founded by the Korean Society for Transplantation and the Korean Center for Disease Control in 2014. Here, we present the initial report of the Korean Heart Transplant Registry. Methods: A total of 183 heart transplantation (HTPL) patients performed at 4 nationally representative hospitals were collected from April 2014 to December 2015. We analyzed donor and recipient characteristics, treatment patterns, and immediate post-transplantation outcomes. Results: One hundred and eighty-three patients were enrolled. The mean age of the patients was $50.5{\pm}13.5years$. The mean age of the male recipients was 4 years greater than that of the female recipients ($51.7{\pm}13.3years$ vs. $47.9{\pm}13.7years$, p<0.050). The mean age of donors was more than 12 years younger than that of heart recipients ($37.6{\pm}10.1years$). Dilated cardiomyopathy was the predominant cause (69%) of heart failure in recipients, followed by ischemic heart diseases (14%) and valvular heart disease (4%). Rejection episodes were most frequent in the 1-6-month period after transplantation (48%), and rarely required intensive treatment. Infection episodes were most frequent <1 month after transplantation (66%) and bacterial and viral infections were equally reported. The 1-year survival rate was 91.6% and most mortality cases occurred during the perioperative period within 1 month after transplantation. Conclusion: With the establishment of the KOTRY in 2014, it is now possible to present nationwide epidemiological data for HTPL in Korea for the first time. The KOTRY is the first national HTPL registry in Korea, and will continue until 2023.

Keywords

Acknowledgement

Supported by : Korea Centers for Disease Control and Prevention

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