000			nab a22 7a 4500
999			_c17377 _d17377
003			PC17377
005			20230413100124.0
008			230413b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_91250 _aDelgado Jiménez, Juan Francisco _eCardiología
245	0	0	_aSpanish Heart Transplantation Registry. 26th Official Report of the Spanish Society of Cardiology Working Group on Heart Failure and Heart Transplantation (1984-2014). _h[artículo]
260			_bRevista española de cardiología (English ed.), _c2015
300			_a68(11):1008-21.
500			_aFormato Vancouver: González Vílchez F, Segovia Cubero J, Almenar L, Crespo Leiro MG, Arizón JM, Villa A et al; Spanish Heart Transplantation Teams. Spanish Heart Transplantation Registry. 26th Official Report of the Spanish Society of Cardiology Working Group on Heart Failure and Heart Transplantation (1984-2014). Rev Esp Cardiol (Engl Ed). 2015 Nov;68(11):1008-21.
501			_aPMID: 26454531
504			_aContiene 35 referencias
520			_aIntroduction and objectives: We present the characteristics and outcomes of heart transplantation in Spain since it was first performed in 1984. Methods: A descriptive analysis of the characteristics of recipients, donors, the surgical procedure, and the outcomes of heart transplantations performed in Spain until 31 December 2014. Results: In 2014, 266 procedures were performed, making a time series of 7289 transplantations. The temporal analysis confirmed a significant worsening of the clinical profile of recipients (higher percentage of older patients, patients with severe renal failure, insulin-dependent diabetes, previous cardiac surgery, and previous mechanical ventilation), of donors (higher percentage of older donors and greater weight mismatch), and of the procedure (higher percentage of emergency transplantations, reaching 41.4% in 2014, and ischemia time>240min). Mechanical assist devices were used less than in 2013; in 2014 they were used in 18.8% of all transplant recipients. Survival at 1, 5, 10, and 15 years was 76%, 65%, 52%, and 38%, respectively, and has remained stable since 1995. Conclusions: Cardiac transplantation activity in Spain has remained stable in recent years, at around 250 procedures per year. Despite a clear deterioration in donor and recipient characteristics and surgical times, the mortality outcomes have remained comparable to those of previous periods in our environment. The growing use of circulatory assist devices before transplantation is also confirmed.
710			_9119 _aServicio de Cardiología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17377.pdf _ySolicitar documento
942			_2ddc _cART _n0