000			nab a22 7a 4500
999			_c16608 _d16608
003			PC16608
005			20211018132815.0
008			211018b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_91250 _aDelgado Jiménez, Juan Francisco _eCardiología
245	0	0	_aSpanish Heart Transplantation Registry. 25th official report of the Spanish Society of Cardiology Working Group on Heart Failure and Heart Transplantation (1984-2013). _h[artículo]
260			_bRevista española de cardiología (Englis ed.), _c2014
300			_a67(12):1039-51.
500			_aFormato Vancouver: González Vílchez F, Gómez Bueno M, Almenar L, Crespo Leiro MG, Arizón JM, Palomo J et al; Spanish Heart Transplantation Teams. Spanish Heart Transplantation Registry. 25th official report of the Spanish Society of Cardiology Working Group on Heart Failure and Heart Transplantation (1984-2013). Rev Esp Cardiol (Engl Ed). 2014 Dec;67(12):1039-51.
501			_aPMID: 25455756
504			_aContiene 27 referencias
520			_aIntroduction and objectives: The present article reports the characteristics and outcome of heart transplantation in Spain since it was first performed in May 1984. Methods: We provide a descriptive analysis of the characteristics of the recipients, the donors, the surgical procedure, and results of the heart transplantations performed in Spain until 31 December 2013. Results: During 2013, a total of 248 transplantation procedures were carried out, bringing the time series to a total of 7023 transplantations. The temporal analysis confirms a significant deterioration in the clinical profile of the recipients (higher percentage of older patients, severe renal failure, insulin-dependent diabetes mellitus, previous heart surgery, mechanical ventilation), of the donors (higher proportion of older donors and greater weight mismatch), and of the procedure (higher percentage of emergency transplantations which, in 2013, reached 49%, and with ischemia times > 240min). There was a marked increase in the use of circulatory assist devices prior to transplantation which, in 2013, were employed in 25.2% of all the patients. The survivals at 1, 5, 10, and 15 years were 76%, 65%, 52%, and 37%, respectively, and have remained stable since 1995. Conclusions: Heart transplantation activity in Spain remains stable in recent years, with around 250 procedures a year. Despite the clear deterioration in the clinical characteristics of the donors and recipients, and lengthening of the operative times, the results in terms of mortality continue to be comparable to those reported in our neighboring countries, and a growing use of circulatory assist devices prior to transplantation is confirmed.
710			_9119 _aServicio de Cardiología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc16608.pdf _ySolicitar documento
942			_2ddc _cART _n0