ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

Clinical Use of the SIPAT Score in a Large Heart Transplant Program

S. Kim, M. Kittleson, J. Patel, N. Patel, T. Singer-Englar, D. Chang, E. Kransdorf, A. Huynh, L. Olanisa, M. Olman, J. A. Kobashigawa

Cedars-Sinai Smidt Heart Institute, Los Angeles, CA

Meeting: 2022 American Transplant Congress

Abstract number: 1138

Keywords: Heart transplant patients

Topic: Clinical Science » Heart » 63 - Heart and VADs: All Topics

Session Information

Session Name: Heart and VADs: All Topics

Session Type: Poster Abstract

Date: Sunday, June 5, 2022

Session Time: 7:00pm-8:00pm

 Presentation Time: 7:00pm-8:00pm

Location: Hynes Halls C & D

*Purpose: The Stanford Integrated Psycosocial Assessment for Transplant (SIPAT) score predicts outcome after heart transplantation (HTx). Compliance with medications and clinic visits are important leading up to transplant to ensure good outcomes. We have been using the SIPAT score to assess our patients for HTx. We now report our single center experience to determine the value of this assessment.

*Methods: Between 2003 and 2020, we assessed 214 HTx candidates undergoing evaluation. All patients received a SIPAT score. Correlation between SIPAT scores and 1-year survival, 1-year freedom from any treated rejection (ATR), cardiac allograft vasculopathy (CAV: stenosis ≥30%), and non-fatal major adverse cardiac events (NF-MACE: myocardial infarction, new congestive heart failure, percutaneous coronary intervention, implantable cardioverter defibrillator/pacemaker implant, stroke) were assessed using receiver operator characteristic (ROC) curves.

*Results: The area under the ROC curves for 1-year survival and 1-year freedom from ATR and NF-MACE were less than 0.5, suggesting that SIPAT score would perform worse as a classifier for these outcomes than a random classifier. The area under the curve for 1-year freedom from CAV was 0.617, suggesting that SIPAT score is a poor classifier in predicting CAV in patients.

*Conclusions: A high pre-HTx SIPAT score by itself does not appear to be a sole indicator of poor post-transplant outcome. It should be used in combination with other societal and medical factors to determine heart transplant candidacy.

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Kim S, Kittleson M, Patel J, Patel N, Singer-Englar T, Chang D, Kransdorf E, Huynh A, Olanisa L, Olman M, Kobashigawa JA. Clinical Use of the SIPAT Score in a Large Heart Transplant Program [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/clinical-use-of-the-sipat-score-in-a-large-heart-transplant-program/. Accessed May 9, 2025.

« Back to 2022 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences