Conclusions
Our data suggests that shortage of donors is not the main limiting
factor of heart transplantation in Mid-West of Brazil. A more organized
organ procurement system and better donor intensive care protocols would
enhance donor utilization rate. That would certainly reduce waiting list
mortality. Most of the donors were classified as high-risk which
indicates that an expanded donor pool is a routine practice in our
region, and donor scoring does not seem to influence to proceed with the
transplant. European donor scoring system in our population did not
correlated with post-transplant primary graft dysfunction and long-term
mortality, reflecting the need to develop a local scoring system.