Heart Transplantation

A successful heart transplant depends on proper evaluation of the heart recipient, expertise in heart transplantation surgery and on-going monitoring after surgery to prevent organ rejection or infections.

At Cedars-Sinai Medical Center, both transplant rates and patient survival rates are closely monitored. These data are reported to the  Scientific Registry of Transplant Recipients.  

The table below describes factors related to heart transplant rates at Cedars-Sinai, including the time that all heart transplant candidates at Cedars-Sinai spend on the wait list, how many donor hearts become available at Cedars-Sinai and how Cedars-Sinai's heart transplant rates compared to those of other heart transplant centers throughout the nation.

Cedars-Sinai Heart Transplant RatesJul 2012 -
Jun 2013
Jul 2013 -
Jun 2014
Person years *71.982.1
Removals for transplant89120
Transplant rate (per year on wait list)1.241.46
Expected transplant rate **0.500.50
Ratio of observed to expected transplants2.492.92

* Person years are calculated as days converted to fractional years. The number of days is counted from the start of the observation period or from the date of the first waiting listing until death, transplant, removal from the waiting list or the end of the observation period.

** The expected transplant rate is adjusted for age, blood type, medical urgency, previous transplantation and time on the waiting list.

Survival Rates for Heart Transplant Patients at Cedars-Sinai

At Cedars-Sinai Medical Center, one-month, one-year and three-year survival rates are tracked for transplant patients.

The table below compares key outcome measurements for heart transplants done at Cedars-Sinai Medical Center.

Both the numbers and percentages of heart transplant patients surviving one month, one year and three years are highlighted. In addition, survival rates for heart transplant patients at Cedars-Sinai Medical Center are also compared to survival rates expected for heart transplant patients with similar ages and health conditions.

Heart Transplant * (Adults Age 18+)Cedars-Sinai Medical Center
Patient Survival for:1 Month1 Year3 Years
For transplants performedJul 2011 - Dec 2013Jul 2011 - Dec 2013Jul 2008 - Dec 2010
Number of transplants213213124
Number of observed deaths during the period62020
Number of expected deaths for patients of similar ages, blood type, and health condition**9.6722.1819.83
Hazard ratio***0.690.911.01

* These statistics reflect patients age 18 or older who had their first heart transplant. They do not include anyone who had a multiple organ transplant (such as a heart and lung transplant) or a heart re-transplant.

** The survival rate that would be expected for the patients served by this center, given the characteristic mix of the recipient and donor (age, disease and blood type, etc.) and the experience of similar patients in the United States as a whole.

***The hazard ratio provides an estimate of how Cedars-Sinai's results compare with what was expected based on modeling the transplant outcomes from all U.S. programs. A ratio above 1 indicates higher than expected patient death rates (e.g., a hazard ratio of 1.5 would indicate 50% higher risk), and a ratio below 1 indicates lower than expected patient death rates (e.g., a hazard ratio of 0.75 would indicate 25% lower risk). If the hospital's patient death rate were precisely the expected rate, the estimated hazard ratio would be 1.0.

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