Browsing by Author "Najafizadeh, Katayoun"

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    Postlung Transplant Rehospitalization: A Study of Causes, Health Care Burden, and Outcomes
    (Başkent Üniversitesi, 2009-09) Faeghi, Jamileh; Masjedi, Mohammad Reza; Dezfouli, Azizollah Abbasi; Najafizadeh, Katayoun; Parsa, Tahereh; Shadmehr, Mohammad Behgam; Dabir, Shideh; Mohammadi, Foruzan; Tabarsi, Payam; Lankarani, Maryam Moghani; Assari, Shervin; Marjani, Majid; Fahimi, Fanak; Shafaghi, Shadi
    Objectives: Rehospitalization is a significant burden for transplant systems, which use data on hospitalization to monitor practice outcomes. In this study, all rehospitalizations after successful lung transplant performed in our medical center during an 8-year period were assessed for cause, health care resource use, cost, and outcome. Materials and Methods: We performed a retrospective chart review of all rehospitalizations of lung transplant recipients in Masih Daneshvari Hospital in Darabad, Tehran, between 2000 and 2008. Baseline data (each patient’s age at transplant and rehospitalization, sex, primary lung disease, medications used), cause of rehospitalization (infection, graft rejection, surgical complications, type of infection), health care resources use (length of hospital stay, intensive care unit stay, physician visits, imaging), rehospitalization costs (accommodations, personnel, drugs, paraclinical [ie, laboratory] tests, supplies, procedures) and outcome (death, survival) were noted. Results: In 69% of patients who were rehospitalized after having received a lung transplant, the cause was infection. Other causes were acute rejection in 31% and surgical complications in 6.9%. In 10.3% of those patients, the primary cause for rehospitalization could not be specified. The mean (SD) duration of rehospitalization was 12.8 ± 10.4 days. Treatment in the intensive care unit was necessary for 93.1% of the study subjects. The mean (SD) number of physician visits was 27.8 ± 27.7, and the fatality rate in the patients studied was 13.8%. Conclusions: These data may guide the monitoring of the causes, burden, and outcomes of lung transplants performed in our medical center in Iran and in other medical centers.
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    The Reality of Inadequate Patient Care and the Need for a Global Action Framework in Organ Donation and Transplantation
    (2022) Dominguez-Gil, Beatriz; Ascher, Nancy L.; Fadhil, Riadh A. S.; Muller, Elmi; Cantarovich, Marcelo; Ahn, Curie; Berenguer, Marina; Egawa, Hiroto; Gondolesi, Gabriel E.; Haberal, Mehmet; Harris, David; Hirose, Ryutaro; Ilbawi, Andre; Jha, Vivekanand; Lopez-Fraga, Marta; Madera, Sergio Andres; Najafizadeh, Katayoun; O'Connell, Philip J.; Rahmel, Axel; Shaheen, Faissal A. M.; Twahir, Ahmed; Van Assche, Kristof; Wang, Haibo; Haraldsson, Boerje; Chatzixiros, Efstratios; Delmonico, Francis L.; Busic, Mirela; 36279558
    Background. Transplant therapy is considered the best and often the only available treatment for thousands of patients with organ failure that results from communicable and noncommunicable diseases. The number of annual organ transplants is insufficient for the worldwide need. Methods. We elaborate the proceedings of the workshop entitled "The Role of Science in the Development of International Standards of Organ Donation and Transplantation," organized by the Pontifical Academy of Sciences and cosponsored by the World Health Organization in June 2021. Results. We detail the urgency and importance of achieving national self-sufficiency in organ transplantation as a public health priority and an important contributor to reaching relevant targets of the United Nations Agenda for Sustainable Development. It details the elements of a global action framework intended for countries at every level of economic development to facilitate either the establishment or enhancement of transplant activity. It sets forth a proposed plan, by addressing the technical considerations for developing and optimizing organ transplantation from both deceased and living organ donors and the regulatory oversight of practices. Conclusions. This document can be used in governmental and policy circles as a call to action and as a checklist for actions needed to enable organ transplantation as treatment for organ failure.