With various conditions occurring, the heart transplant waiting list is extremely long, and there is a surplus of active patients wishing to receive their transplant. It is entirely possible that many will be deceased before they get their new heart. Based on the national data in July 2021, the national average of patients that receive their heart transplant within a year is 55.2%.
States and Regions with The Most Additions to Waiting List
Although there is a lack of available data on a state average, most organ transplant waiting list data is available by region. This is due to the fact that many suitable donors can be found outside the state, meaning that there is an inherent mismatch between the supply and demand of a state. Notably, the Great Lakes and Mid-Atlantic regions have had the most additions to their waiting list for heart transplants and donorship. It is also important to remember that someone can be rendered inactive, meaning that they are currently not within 4 hours of their hospital while still on the waiting list. Inactivity can also mean that the severity has gone down. Only those who are active will be given priority on the waitlist.
Of note, the Mid-Atlantic region has had the most additions to the waitlist, largely due to the metropolitan areas. This includes Pennsylvania, West Virginia, Maryland, and Virginia. Naturally, they also have the highest amount of inactivity - as it scales with volume.
States and Regions with The Least Additions to Waiting List
The Northwest and Northeast regions enjoy the shortest wait time for a heart transplant, and they also receive the least number of additions to the waitlist. This could be due to any number of reasons, including better healthcare systems. Areas such as New York, Washington, Maine, and Vermont have some of the best healthcare facilities in the country, meaning they are able to understand issues before they begin to denigrate. Some states also have a much smaller population, such as Rhode Island, meaning that the overall number added to the waitlist may be smaller.
Certain other factors skew the results. Massachusetts and Maryland are extremely well-known for their contribution to the STEM field - meaning that their transplant waitlist should be smaller than it is comparably to other regions. In fact, it is because of this that their wait-list is some of the highest in the country, as their dedication to the field would naturally bring in more patients.
Heart transplant criteria also vary greatly, and there are many differences between one medical institute to the other. Certain facilities may require that the person is of certain physical and age-related parameters. For example, some programs do not allow those over the age of 70, have a BMI greater than 30-35, or that have had cancer. Due to the nature of shortage of heart transplants throughout the country, programs must also be selected for those who have a greater chance of recovery after a successful operation.