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Physical activity and its impact on cardiovascular health in pediatric kidney transplant recipients.

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CONTRIBUTORS: Lena Kohlmeier,Jeannine von der Born,Elena Lehmann,Kerstin Fröde,Carl Grabitz,Anne-Sophie Greiner,Alexander A Albrecht,Nima Memaran,Rizky I Sugianto,Uwe Tegtbur,Bernhard M W Schmidt,Nele Kanzelmeyer,Anette Melk

Cardiovascular (CV) morbidity after kidney transplantation (KTx) in childhood is of increasing importance. In light of a high prevalence of CV risk factors, protective measures such as physical activity (PA) come into focus. Our aim was to comprehensively assess PA in pediatric KTx recipients and evaluate its impact on CV health. Read the article in Physician’s Weekly.

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Study Details AKI Prevalence, Risk Factors in Infant Liver Transplant Patients

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By Abigail Brooks, MA

60.2% of infant living-related liver transplant recipients developed AKI within 7 days of surgery and experienced more frequent serious complications, longer hospital stays, and a greater duration of postoperative mechanical ventilation compared to those who did not develop AKI.

Preoperative transfusion and decreased serum creatine levels are independently associated with acute kidney injury (AKI) in infant living-related liver transplant recipients with biliary atresia, according to findings from a retrospective study. Read the full article in HCP Live.

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Study Details AKI Prevalence, Risk Factors in Infant Liver Transplant Patients

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By Abigail Brooks, MA

60.2% of infant living-related liver transplant recipients developed AKI within 7 days of surgery and experienced more frequent serious complications, longer hospital stays, and a greater duration of postoperative mechanical ventilation compared to those who did not develop AKI.

Preoperative transfusion and decreased serum creatine levels are independently associated with acute kidney injury (AKI) in infant living-related liver transplant recipients with biliary atresia, according to findings from a retrospective study. Read more in HCP Live.

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Certain Live Vaccines Safe and Effective in Pediatric Organ Transplant Patients, Study Finds

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By Patricia Weiser, Pharm.D.

Live vaccinations may be safe and effective for protection against measles, mumps, and varicella in certain pediatric recipients who have had a solid organ transplant, according to an investigation published earlier this month in JAMA Network Open.

Historically, guidelines have recommended against using live vaccines in certain immunocompromised individuals, such as those receiving a solid organ transplant (SOT).
Read the full article in Managed Healthcare Executive.

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Distance to Transplant Center Affects Follow-Up Care in Pediatric Transplant Recipients

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By Abigail Brooks, MA

Findings presented at ASN Kidney Week 2023 highlighted an association between distance to the transplant center and increased clinic cancellations.

Transportation insecurity may pose a significant barrier to care and contribute to worse health outcomes and post-transplant follow-up care in pediatric transplant recipients, according to findings from a retrospective cohort study.

Presented at the American Society of Nephrology Kidney Week 2023, results showed greater distance to the transplant center was associated with more clinic cancellations, which investigators pointed out could cause delayed care resulting in negative effects on transplant health.1 Read the complete article in HCP Live.

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A Day in the Life of a Transplant Manager

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By Katie Chen

Pediatric Nurses Week is a time to celebrate and reflect on the contributions nurses make to the pediatric community and their families.

Gerri James, RN, BSN, CCTC, manager of the Pediatric Kidney Transplant Program at Stanford Medicine Children’s Health, is often the first person parents hear from when their children are referred for a transplant. Read more from Stanford Medicine Children’s Health.

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1st ‘domino’ transplant performed in babies saves 2 girls born with heart defects

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When the Skaats family learned baby Mia needed a new heart they felt devastated. But Mia helped another family in domino heart transplant, a first in babies.

By Meghan Holohan

When Mia Skaats was only 10 days old, she began breathing rapidly, and her mom, Nicole Skaats, immediately knew something was wrong. Doctors eventually determined the newborn had cardiomyopathy, a condition where the heart struggles to bump blood to the rest of the body, and she was in heart failure.

Mia needed a heart transplant, so when one became available, the Skaats family felt overjoyed their daughter, born in September 2022, would have a new chance at life. Check out the full story from NBC’s Today.

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‘A Lot More to Do’ for Longevity of Kids Who Receive Organs

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By Jake Remaly

Sara Kathryn Smith, MD, knows better than most that studying pediatric organ transplant recipients in adulthood can be a challenge.

Smith, the medical director of pediatric liver transplantation at Johns Hopkins Children’s Center in Baltimore, is a transplant recipient herself.

“Following somebody 20, 30 years after a liver transplant when they are out there running their life and having no issues at all, it is hard to convince them to come back every month for labs,” Smith said. Read the full article in Medscape.

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Texas Children’s Receives 2023 Outstanding Heart Failure Care Team Award From Heart Failure Society of America

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HOUSTON (JUNE 28, 2023) – The Texas Children’s Hospital Heart Failure Team has been named the 2023 Outstanding Heart Failure Care Team award winner by the Heart Failure Society of America. The team will be formally recognized at an award ceremony in Cleveland, OH later this year.

The Heart Failure Team is part of Texas Children’s Heart Center, recently ranked #1 in the nation by U.S. News and World Report for pediatric cardiology and heart surgery for the seventh consecutive year. The team is uniquely suited to care for the most complex cardiac patients from infancy to adulthood with its world-class expertise in fetal and neonatal cardiology, congenital heart surgery, cardiac intensive care, and adult congenital heart disease. Read the full article from Texas Children’s Hospital.

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One day on the field, admitted to the ICU the next: Rob’s liver transplant journey

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By Veronica Giarla

When you’re a teen, it’s not very common to worry about what’s going on inside your body — especially not about potential organ failure. For Rob, now 14 years old, that happened in the blink of an eye. One day, he was scoring goals in soccer and hanging out with his friends. But in just a matter of hours, he was in acute liver failure.

“Rob woke up feeling not himself,” remembers Rachel, Rob’s mom. “He had diarrhea, was lethargic, and was getting worse by the hour. By the afternoon, his eyes were turning yellow, and that’s when I knew we had to go to Boston Children’s Hospital.”
Read the full article from Boston Children’s Hospital.

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