麦德林肺移植二十五年:战胜新兴国家的挑战

IF 2.6 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
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引用次数: 0

摘要

1997 年 10 月 28 日,阿尔贝托-比列加斯-埃尔南德斯(Alberto Villegas Hernández)在麦德林的 "圣玛丽亚心血管病诊所"(Clínica Cardiovascular Santa María)成功实施了哥伦比亚首例肺移植手术。我们在此介绍哥伦比亚历史最悠久、经验最丰富的肺移植项目的存活结果和特点。我们对 1997 年 10 月至 2022 年 10 月在哥伦比亚麦德林的 Cardio VID 诊所接受肺移植手术的所有患者进行了回顾性研究。我们检索并审查了本机构数据库和移植档案中的患者信息。从1997年10月到2022年10月,共有153名患者在哥伦比亚麦德林的本机构接受了正位肺移植手术。平均受者年龄为 48 ± 13 岁,移植时年龄最小的患者为 15 岁,最大的患者为 73 岁。74例(48.4%)患者为男性,79例(51.6%)为女性。在麦德林,1 个月、1 年、5 年和 10 年的肺移植存活率分别为 68%、50%、31% 和 12%。虽然哥伦比亚的医疗保健覆盖率接近 100%,但移植后护理期间的社会经济障碍、未返回的患者、感染和外伤性供体死亡导致了高死亡率。由于这些因素,在这些环境中建立成功且可持续的肺移植项目极具挑战性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Twenty-Five Years of Lung Transplantation in Medellín: Overcoming the Challenges of an Emerging Country

The first successful lung transplant in Colombia was performed on October 28, 1997 in Medellín by Alberto Villegas Hernández at the “Clínica Cardiovascular Santa María” today called the Cardio VID Clinic. Here we present both survival outcomes and characteristics of the oldest and most experienced lung transplant program in Colombia. We conducted a retrospective study of all patients taken to lung transplantation at the Cardio VID Clinic in Medellín, Colombia from October 1997 to October 2022. Patient information from our institutional database and transplant archives were retrieved and reviewed. From October 1997 to October 2022, a total of 153 patients underwent orthotopic lung transplantation at our institution in Medellín, Colombia. Mean recipient age was 48 ± 13 years, the youngest patient was 15 years old and the oldest patient was 73 years old at the time of transplant. Seventy-four (48.4%) patients were men and seventy-nine (51.6%) were women. Uncensored lung transplant survival in Medellin at 1 month, 1 year, 5 years, and 10 years were 68%, 50%, 31%, and 12%, respectively. Although health care coverage in Colombia reaches nearly 100%, socioeconomic hurdles during post-transplant care, nonreturning patients, infections, and traumatic donor deaths lead to high mortality rates. Due to these factors, establishing successful and sustainable lung transplant programs in these settings is challenging.

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来源期刊
Seminars in Thoracic and Cardiovascular Surgery
Seminars in Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine
CiteScore
5.80
自引率
0.00%
发文量
324
审稿时长
12 days
期刊介绍: Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.
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