Spanish heart transplant registry. 35th official report of the Heart Failure Association of the Spanish Society of Cardiology

IF 7.2 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Revista española de cardiología (English ed.) Pub Date : 2024-07-18 DOI:10.1016/j.rec.2024.05.015

Francisco González-Vílchez , Luis Almenar-Bonet , Cristina Mitroi , María G. Crespo-Leiro , Amador López-Granados , María Valero , Juan F. Delgado-Jiménez , Sonia Mirabet-Pérez , José M. Sobrino-Márquez , Elena García-Romero , on behalf of the Spanish Heart Transplant Teams

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引用次数: 0

Abstract

Introduction and objectives

Our aim was to describe the characteristics and outcomes of heart transplants in Spain.

Methods

We analyzed trends in recipient and donor characteristics, recipient-donor interaction, surgical procedures, immunosuppression, and outcomes of patients included in the Spanish heart transplant registry from 2014 to 2023. Changes in survival were analyzed using the Kaplan-Meier method.

Results

In 2023, 325 cardiac transplants were performed (4.5% more than in the previous year), with a total of 2987 procedures from 2014 to 2023. There was a trend toward performing more transplants in women (29.2%), with etiologies other than cardiomyopathy (32.6%), and with better pretransplant status (less hepatic [12.5%], renal [glomerular filtration rate, 81.5 mL/min/1.73 m²], and respiratory [8.7%] involvement). In 2023, the number of urgent transplants increased (44% of the total), especially those performed after circulatory support with extracorporeal membrane oxygenation (36% of total assistance), and transplants performed with donation after circulatory death (17.9%). Survival improved in the triennium from 2020 to 2022 compared with 2014 to 2016 (83.0% at 1 year from 2020-2022 vs 79.0% from 2014-2016).

Conclusions

The number of transplants performed in Spain showed an upward trend, with recipients with better clinical status and an increasing use of donation after circulatory death. Survival improved in the last triennium.

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西班牙心脏移植登记处。西班牙心脏病学会心力衰竭协会第 35 次正式报告。

导言和目标：我们的目的是描述西班牙心脏移植的特点和结果：我们分析了2014年至2023年期间西班牙心脏移植登记处收录的受体和供体特征、受体与供体相互作用、手术过程、免疫抑制以及患者预后的趋势。结果：2023年共进行了325例心脏移植手术（比上一年增加4.5%），2014年至2023年共进行了2987例手术。女性（29.2%）、心肌病以外的病因（32.6%）和移植前状态较好（肝脏[12.5%]、肾脏[肾小球滤过率，81.5 mL/min/1.73 m2]和呼吸系统[8.7%]受累较少）的患者接受移植的数量呈上升趋势。2023 年，紧急移植数量增加（占总数的 44%），尤其是在体外膜氧合循环支持后进行的移植（占总援助的 36%），以及在循环死亡后通过捐赠进行的移植（17.9%）。与2014年至2016年相比，2020年至2022年三年期的存活率有所提高（2020年至2022年1年存活率为83.0%，2014年至2016年为79.0%）：西班牙进行的移植数量呈上升趋势，受者的临床状况有所改善，循环死亡后捐献的使用也在增加。最近三年的存活率有所提高。英文全文见：www.revespcardiol.org/en。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista española de cardiología (English ed.) Medicine-Medicine (all)

CiteScore

7.70

自引率

0.00%

发文量

219