{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T09:13:10Z","timestamp":1768295590717,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T00:00:00Z","timestamp":1587513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Educational development is an important component of quality of life for children with heart transplant. Aims include determining prevalence of and risk factors for modified education placement in a large representative sample of pediatric heart transplant recipients. Participants included 1495 patients (age 6\u201018\u00a0years) from the PHTS database. Data on education placement and clinical predictors were collected at listing and at 1 and 3\u00a0years post\u2010transplant. At listing, 88% of patients were in typical education placement, while 12% were in modified education. Males (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.02), those with CHD (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001), those with non\u2010private insurance (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001), and those with longer hospital stay (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.001) were more likely to be in a modified education placement at time of listing. Age, race, listing status, mechanical support, and waitlist time were not significantly associated with placement. The prevalence of typical education placement was similar (87% at 1\u2010year and 86% at 3\u2010year) post\u2010transplant. Predictors of modified education placement at 3\u2010year follow\u2010up included placement at listing (OR\u00a0=\u00a012.9 [95% CI 7.6\u201021.9],<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001), non\u2010private insurance (OR\u00a0=\u00a02.0 [95% CI 1.3\u20103.2],<jats:italic>P\u00a0<\/jats:italic>=\u00a0.001), CHD (OR\u00a0=\u00a01.8 [95% CI 1.1\u20102.7,<jats:italic>P<\/jats:italic>\u00a0=\u00a0.01), history of post\u2010transplant infection (OR\u00a0=\u00a01.9 [95% CI 1.2\u20102.9,<jats:italic>P<\/jats:italic>\u00a0=\u00a0.007), and number of post\u2010transplant infections (OR\u00a0=\u00a01.3 [95% CI 1.1\u20101.5,<jats:italic>P<\/jats:italic>\u00a0=\u00a0.002). Among pediatric heart transplant recipients, males, those with non\u2010private insurance, those with CHD, and those who experience post\u2010transplant infections are at greatest risk for modified academic placement, which persists for several years post\u2010transplant and deserves targeted intervention.<\/jats:p>","DOI":"10.1111\/petr.13711","type":"journal-article","created":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T13:15:27Z","timestamp":1587561327000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Educational and learning morbidity in pediatric heart transplant recipients: A pediatric heart transplant society study"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3011-2869","authenticated-orcid":false,"given":"Micah S.","family":"Brosbe","sequence":"first","affiliation":[{"name":"Johns Hopkins Hospital Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8852-9838","authenticated-orcid":false,"given":"Lydia K.","family":"Wright","sequence":"additional","affiliation":[{"name":"Emory University Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3102-2638","authenticated-orcid":false,"given":"Ryan","family":"Cantor","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8351-6584","authenticated-orcid":false,"given":"William J.","family":"Dreyer","sequence":"additional","affiliation":[{"name":"Texas Children's Hospital Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonya","family":"Kirmani","sequence":"additional","affiliation":[{"name":"Duke University Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Knight","sequence":"additional","affiliation":[{"name":"University of Maryland Medical Center Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2493-5842","authenticated-orcid":false,"given":"Stephanie J.","family":"Nakano","sequence":"additional","affiliation":[{"name":"Children's Hospital Colorado Aurora Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8731-6942","authenticated-orcid":false,"given":"Steven J.","family":"Kindel","sequence":"additional","affiliation":[{"name":"University of Wisconsin Milwaukee Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4237-576X","authenticated-orcid":false,"given":"Thomas D.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Cincinnati Children's Hospital Cincinnati Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7861-3267","authenticated-orcid":false,"given":"James K.","family":"Kirklin","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8358-9783","authenticated-orcid":false,"given":"Shriprasad R.","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Children's National Medical Center Washington District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-801640-4.00004-4"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2008.07.012"},{"issue":"2","key":"e_1_2_6_4_1","first-page":"e003074","article-title":"Academic outcomes in 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