Learning networks in pediatric heart failure and transplantation

“Learning networks in pediatric heart failure and transplantation” was published June 17, 2021 in Pediatric Transplantation. This ACTION publication defines “learning networks” and how they’re different from traditional clinical research collaboratives. The authors highlight exemplary  learning networks in the field of pediatric heart failure and transplantation, with particular attention given to ACTION. ACTION’s mission, goals, […]

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Multisystem Inflammatory Syndrome MIS-C Associated with COVID-19 Anti-thrombosis Guideline of Care for Children

COVID 19 infection in children causes a hyper-inflammatory syndrome referred to as multisystem inflammatory syndrome in children (MIS-C). This ACTION publication, published June 2, 2021 in Pediatric Cardiology, provides a set of recommendations concerning anticoagulation practices in kids with MIS-C: “Multisystem Inflammatory Syndrome Associated with COVID-19 Anti-thrombosis Guideline of Care for Children by Action” What

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Psychological Outcomes in Pediatric Patients with VADs and Their Families

“Psychological Outcomes in pediatric patients with ventricular assist devices and their families: A systematic review” was published in Pediatric Transplantation on Mar 11, 2021.  This systematic review of literature identified studies utilizing both quantitative and qualitative measures of psychosocial health in pediatric VAD patients and their families.  Key takeaways: Since 2010, only 16 studies were

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Stroke in Pediatric VAD Patients: A Pediamacs Registry Analysis

Cerebrovascular accidents (CVA) are a common problem in pediatric VAD support. This Pedimacs analysis investigates rates, risk factors, and outcomes of CVA in pediatric patients supported on VAD: “Stroke in Pediatric Ventricular Assist Device Patients: A Pediamacs Registry Analysis.” It was published March 12, 2021 in The Journal of Heart and Lung Transplantation. The researchers

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Outcomes of Children Bridged to Heart Transplantation with VADs

This landmark Pediatric Heart Transplant Society study, “Outcomes of children bridged to heart transplantation with ventricular assist devices: a multi-institutional study,” was published in May 2006 in Circulation, a journal by the American Heart Association. This groundbreaking work showed that VADs can be successfully used in kids and even their early outcomes were far superior

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A Novel Method of Donor‒Recipient Size Matching in Pediatric Heart Transplantation

Did you know the second most common reason for refusal of donor hearts in pediatric heart transplantation is donor size mismatch? Donor-to-recipient size matching is almost exclusively weight-based, but there is little to no evidence that validates weight as a reliable surrogate of cardiac size. Another size matching option is a case-by-case segmentation of total

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Medicines

Establishing Baseline Metrics of Heart Failure Medication Use in Children

ACTION defines and collects pediatric heart failure metrics to implement quality improvement initiatives. This study sought to describe medication use at the time of discharge for children admitted with acute decompensated heart failure in the current era: “Establishing Baseline Metrics of Heart Failure Medication Use in Children: A Collaborative Effort from the ACTION Network.” Researchers

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Greater Admissions, Mortality, and Cost of Heart Failure in ACHD

This study, published December 23, 2020 in Heart, compared outcomes and resource use among heart failure in adults with congenital heart disease and heart failure (ACHD-HF) vs. no ACHD: “Greater admissions, mortality and cost of heart failure in adults with congenital heart disease.” Researchers compared outcomes, emergency department (ED) and hospital resource use, and advanced

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Right Heart Failure

Right Heart Failure Considerations in Pediatric VADs

Right heart failure (RHF) after LVAD implantation can negatively impact a child’s transplant candidacy and survival. Successful LVAD outcomes require anticipation, prevention, early identification, and management of RHF, but there is little pediatric-focused evidence to guide practice. This review summarizes the existing literature and describes ACTION’s harmonized approach to RHF: “Right heart failure considerations in

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