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三十五次官方报告。

IF 5.9 2区医学 Q2 Medicine

Revista espanola de cardiologia Pub Date : 2024-06-05 DOI:10.1016/j.recesp.2024.05.016

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引用次数: 0

摘要

导言和目标我们的目的是描述西班牙心脏移植手术的特点和结果。方法我们分析了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点、受体与供体相互作用、手术过程、免疫抑制和患者结果的趋势。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% vs 2014 年至 2016 年为 79.0%）。结论西班牙进行的移植数量呈上升趋势，受者的临床状况更好，循环死亡后捐献的使用率也在增加。最近三年的存活率有所提高。

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Registro español de trasplante cardiaco. XXXV informe oficial de la Asociación de Insuficiencia Cardiaca de la Sociedad Española de Cardiología

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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来源期刊

Revista espanola de cardiologia 医学-心血管系统

CiteScore

4.20

自引率

13.60%

发文量

257

审稿时长

28 days

期刊介绍： Revista Española de Cardiología, Revista bilingüe científica internacional, dedicada a las enfermedades cardiovasculares, es la publicación oficial de la Sociedad Española de Cardiología.