TY - JOUR
T1 - Preoperative predictors for postoperative problems in heart transplantation
T2 - Psychiatric and psychosocial considerations
AU - Rivard, Andrew L.
AU - Hellmich, Christina
AU - Sampson, Barbara
AU - Bianco, Richard W
AU - Crow, Scott J
AU - Miller, Leslie W.
PY - 2005/9/1
Y1 - 2005/9/1
N2 - The psychiatric and psychosocial evaluation of the heart transplant candidate can identify particular predictors for postoperative problems. These factors, as identified during the comprehensive evaluation phase, provide an assessment of the candidate in context of the proposed transplantation protocol. Previous issues with compliance, substance abuse, and psychosis are clear indictors of postoperative problems. The prolonged waiting list time provides an additional period to evaluate and provide support to patients having a terminal disease who need a heart transplant, and are undergoing prolonged hospitalization. Following transplantation, the patient is faced with additional challenges of a new self-image, multiple concerns, anxiety, and depression. Ultimately, the success of the heart transplantation remains dependent upon the recipient's ability to cope psychologically and comply with the medication regimen. The limited resource of donor hearts and the high emotional and financial cost of heart transplantation lead to an exhaustive effort to select those patients who will benefit from the improved physical health the heart transplant confers.
AB - The psychiatric and psychosocial evaluation of the heart transplant candidate can identify particular predictors for postoperative problems. These factors, as identified during the comprehensive evaluation phase, provide an assessment of the candidate in context of the proposed transplantation protocol. Previous issues with compliance, substance abuse, and psychosis are clear indictors of postoperative problems. The prolonged waiting list time provides an additional period to evaluate and provide support to patients having a terminal disease who need a heart transplant, and are undergoing prolonged hospitalization. Following transplantation, the patient is faced with additional challenges of a new self-image, multiple concerns, anxiety, and depression. Ultimately, the success of the heart transplantation remains dependent upon the recipient's ability to cope psychologically and comply with the medication regimen. The limited resource of donor hearts and the high emotional and financial cost of heart transplantation lead to an exhaustive effort to select those patients who will benefit from the improved physical health the heart transplant confers.
UR - http://www.scopus.com/inward/record.url?scp=33644670544&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33644670544&partnerID=8YFLogxK
U2 - 10.7182/prtr.15.3.w1x550534g723735
DO - 10.7182/prtr.15.3.w1x550534g723735
M3 - Article
C2 - 16252635
AN - SCOPUS:33644670544
SN - 1526-9248
VL - 15
SP - 276
EP - 282
JO - Progress in Transplantation
JF - Progress in Transplantation
IS - 3
ER -
