Evaluation of the SIPAT instrument to assess psychosocial risk in heart transplant candidates: A retrospective single center study

Heart & Lung : the Journal of Critical Care
Elizabeth VandenbogaartMario Deng

Abstract

We evaluated the reliability of the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) in heart transplant (HT) recipients and explored its usefulness in predicting post-transplant outcomes. Pre-transplant psychosocial and behavioral risk is associated with post-transplant clinical outcomes. SIPAT is a risk assessment tool created for pre-transplant psychosocial evaluation. Via retrospective chart review, three examiners applied the SIPAT to 51 adult HT recipients. Examiners blinded to SIPAT scores extracted data and interviewed clinicians for one-year post-transplant outcomes. Analysis included Intra-class correlation coefficient (ICC), Pearson's correlation coefficient and Chi-square. SIPAT demonstrated strong inter-rater reliability (ICC = 0.89, 95% CI = 0.76-0.96). Compared to those with SIPAT ratings of "Excellent/Good", the "Minimally Acceptable Candidate/High Risk" group was more likely to miss clinic visits (p = 0.004). The SIPAT tool had strong IRR. Less favorable SIPAT ratings were associated with nonadherence to clinic visits. Further study is warranted to determine association of SIPAT ratings to clinical outcomes.

Citations

Jun 8, 2018·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Keren LadinDouglas W Hanto
Jan 10, 2019·Circulation. Heart Failure·Brett W SperryRandall C Starling
May 31, 2019·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Gloria ChenWasim A Dar
Nov 30, 2019·Current Heart Failure Reports·Mary Amanda DewQuincy-Robyn Young
Jan 10, 2018·The American Journal of Bioethics : AJOB·James N Kirkpatrick, Jason W Smith
May 18, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Evgenij V PotapovFinn Gustafsson
Sep 9, 2020·Circulation. Heart Failure·Ersilia M DeFilippisVeli K Topkara
May 4, 2021·Current Opinion in Organ Transplantation·Purav Shah, David C Neujahr
May 20, 2021·Current Opinion in Organ Transplantation·Purav Shah, David C Neujahr
Jun 1, 2021·The Journal of Thoracic and Cardiovascular Surgery·Caroline K OltUNKNOWN Stanford Integrated Psychosocial Assessment for Transplant Research Group

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