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
{"title":"Spanish heart transplant registry. 35th official report of the Heart Failure Association of the Spanish Society of Cardiology","authors":"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","doi":"10.1016/j.rec.2024.05.015","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Our aim was to describe the characteristics and outcomes of heart transplants in Spain.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 m<sup>2</sup>], 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).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":"77 11","pages":"Pages 926-935"},"PeriodicalIF":7.2000,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista española de cardiología (English ed.)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1885585724002329","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
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.