The U.S. heart transplant list for children isn’t accurately ranking the sickest kids highest, making it more likely they may die while waiting for a donor heart, a new study claims.
Some very sick children were categorized as category 2, the lowest of the three categories of urgency on the list, while others who were not as sick had a 1A “most urgent” status, researchers found.that might have gone to a child nearer death, results showed.
The team compared kids' actual ranking on the wait list with how they would have been ranked if their listing was based on medical urgency. But kids' placement on the wait list often is flawed, in that those most in need aren't always at the top of the list, researchers discovered. Researchers also found that the three wait-list categories -- 1A, 1B and 2 -- are so broad that less sick kids were sometimes offered a heart before sicker kids within the same category simply because they'd been waiting longer.
Instead, the death rate declined because of medical advances like mechanical pumps that support a child's heart while waiting for transplant, researchers said.
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