CONCLUSIONS: Infectious complications may account for decreased survival in extended criteria heart transplant recipients.
Daneshmand, MA, Rajagopal, K, Lima, B, Khorram, N, Blue, LJ, Lodge, AJ, Hernandez, AF, Rogers, JG, and Milano, CA. "Left ventricular assist device destination therapy versus extended criteria cardiac transplant". Ann Thorac Surg 89, no. 4 (April 2010): 1205-1209.
This is particularly important as the donor pool now includes "extended criteria donors" who are older or ill.
Delayed allograft function [ 4, 5, 9], older recipient and donor age [ 4], extended criteria donors [ 4], cytomegalovirus infection [ 5] and acute rejection [ 5, 9] have been associated with an increased likelihood of developing TRAS.
In that study, we also suggested that, during a heat wave, extended criteria of elevated core temperature should be used because of the considerable excess mortality encountered in an elderly population [ 6, 7].
When the stricter, standard, and extended criteria were compared in terms of the relative risk, the only differences observed were in the magnitude of the risk ratio, which trended discretely higher for the stricter criterion and discretely lower for the extended criterion.
Quine's extended criterion involving paraphrase can be applied; but now there is a danger of overgenerating.
In comparison with late entry classified according to the standard criterion, the use of the extended criterion resulted in the inclusion of an additional 17,257 individuals (a 34.4% increase).
Extending criteria to identify a 9/10 match (included HLA-DQB1) showed the 9/10 absolute match rate decreased between144% and 21% from the 7/8 match rate for the non-WH groups.
Such criteria extended earlier univalence criteria of Pescar's-type of analytic functions.
Although extended transplantation criteria has been receiving increased attention [34], the Milan criteria is still the most acceptable criteria for liver transplantation [35].
