Resultados de la evaluación de los 208 pacientes remitidos en los primeros 4 años a un programa de trasplante pulmonar
Results of screening 208 patients referred for lung transplants in a program's fírst 4 years
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"apellidos" => "Arenas Linares" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615307523?idApp=UINPBA00003Z" "url" => "/03002896/0000003200000006/v1_201506230116/S0300289615307523/v1_201506230116/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Resultados de la evaluación de los 208 pacientes remitidos en los primeros 4 años a un programa de trasplante pulmonar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "280" "paginaFinal" => "284" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "F. Morell, A. Román, C. Bravo, F. Nicolau, S. Martí" "autores" => array:6 [ 0 => array:3 [ "nombre" => "F." "apellidos" => "Morell" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Román" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Bravo" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Nicolau" ] 4 => array:2 [ "nombre" => "S." "apellidos" => "Martí" ] 5 => array:2 [ "colaborador" => "Grupo de Trasplante Pulmonar del Hospital Vall d’Hebron" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "fn0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Hospital General Universitari Vall d’ Hebron. Barcelona" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Servicio de Neumología. Hospital General Universitari Vall d’Hebron. Passeig Vall d’Hebron, 119-129. 08035 Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Results of screening 208 patients referred for lung transplants in a program's fírst 4 years" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-09-29" "fechaAceptado" => "1996-01-21" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546204" "palabras" => array:1 [ 0 => "Trasplante pulmón" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546205" "palabras" => array:1 [ 0 => "Lung transplantation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Análisis retrospectivo de las propuestas de trasplante pulmonar recibidas desde 1990 a 1994.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Durante los cinco primeros años del Programa de Trasplante Pulmonar del Hospital Valí d’Hebron se han recibido 208 propuestas de pacientes procedentes de todo el Estado. Las afecciones más frecuentes han sido el conjunto bron-quiectasias y fibrosis quística (29%), los pacientes afectados de enfermedad pulmonar obstructiva crónica (25%) y los remitidos con el diagnóstico de fibrosis pulmonar (16,5%).</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La evaluación se realizó de acuerdo con los criterios inter-nacionalmente establecidos para el trasplante pulmonar, analizándose retrospectivamente los resultados de la misma.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Después de una primera evaluación de la información remitida por su neumólogo, 100 pacientes (49%) fueron considerados candidatos para ser sometidos a un estudio más extenso en el hospital. De ellos, 53 (25%) fueron finalmente incluidos en la lista de espera activa. Veintisiete de estos 53 (12,9%) fueron trasplantados, mientras que seis fallecieron durante la espera y el resto permanecía el 31 de diciembre de 1994 en lista activa. La mortalidad global de los pacientes rechazados, excluidos los que no tenían aún criterios de gravedad y los que se hallaban en estado agónico, desde la consulta hasta la finalización del estudio, fue de 36/123 (29%). La supervivencia actuarial a los 12 y 24 meses de los pacientes trasplantados ha sido del 64 y el 49%, respectivamente.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En conclusión, después de seguir los métodos de selección actualmente aceptados, uno de cada 4 pacientes propuestos ha podido ser finalmente incluido en la lista de espera activa. En la presente serie, y en comparación con otros programas, destaca el relativamente escaso número de pacientes afectados de enfermedad pulmonar obstructiva crónica, cifra que asumimos irá en aumento en los próximos años.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective analysis of the patients referred for possible lung transplants between 1990 and 1994.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Between 1990 and 1994 the Lung Transplant Program at Hospital Vall d’Hebron received 208 referrals from all over Spain. The cases most often involved a combination of bron-chiectasia and cystic fibrosis (29%), chronic obstructive pul-monary disease (25%) and pulmonary fibrosis (16.5%).</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Internationally established guidelines for lung transplan-tation were used to screen the cases and the results have been analyzed retrospectively.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">After first evaluating the report sent by the patient's pneumologist, 100 patients (49%) were considered candida-tes for further hospital study. Of the 100, 53 (25%) were fi-nally placed on an active waiting list. Twenty-seven (12.9%) of the 53 received transplants, 6 died while waiting, and the others remained on the waiting list on 31 December 1994. Mortality among the rejected patients between the first visit until the end of the study, excluding those who were not yet classifled as serious cases and those who were terminally ill, was 36/123 (29%). Actuarial survival rates at 12 and 24 months for transplanted patients were 64 and 49%, respec-tively.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">After following the currently accepted screening methods, one in 4 patients referred for possible lung transplantation was finally given a place on the active waiting list. The series studied here is noteworthy for the relatively low number of patients with chronic obstructive pulmonary disease in comparison with other programs, although we expect the number to increase in the coming years.</p></span>" ] ] "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara" id="npara0005">Grupo de Trasplante Pulmonar del Hospital General Universitari Vall d'Hebron: Servicio de Anestesia (M. Comas, M. Guillermo. E. Molina); Servicio de Bioquímica (L. Pou); Servicio de Cirugía Torácica (J. Astudillo, M. Canela, J. Maestre. J. Solé, J. Teixidó); Servicio de Cuidados Intensivos (Ll. Tenorio); Sección de Enfermedades Infecciosas (J. Gavaldá); Enfermería (M. Mir); Sección de Rehabilitación Respiratoria (J.A. García-Besada); Servicio de Neumología (C. Bravo, F. Morell, A. Román).</p>" "identificador" => "fn0005" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Experience with single lung transplantation for pulmonary fibrosis" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "The Toronto Lung Transplant Group" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "JAMA" "fecha" => "1988" "volumen" => "259" "paginaInicial" => "2.258" "paginaFinal" => "2.262" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3373692" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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| 2020 September | 18 | 21 | 39 |
| 2020 August | 30 | 13 | 43 |
| 2020 July | 32 | 22 | 54 |
| 2020 June | 20 | 20 | 40 |
| 2020 May | 22 | 16 | 38 |
| 2020 April | 32 | 7 | 39 |
| 2020 March | 26 | 15 | 41 |
| 2020 February | 28 | 26 | 54 |
| 2020 January | 42 | 30 | 72 |
| 2019 December | 31 | 30 | 61 |
| 2019 November | 17 | 6 | 23 |
| 2019 October | 15 | 17 | 32 |
| 2019 September | 9 | 19 | 28 |
| 2019 August | 8 | 5 | 13 |
| 2019 July | 14 | 21 | 35 |
| 2019 June | 3 | 15 | 18 |
| 2019 May | 33 | 22 | 55 |
| 2019 April | 61 | 25 | 86 |
| 2019 March | 14 | 14 | 28 |
| 2019 February | 14 | 3 | 17 |
| 2019 January | 13 | 10 | 23 |
| 2018 December | 8 | 11 | 19 |
| 2018 November | 15 | 16 | 31 |
| 2018 October | 23 | 16 | 39 |
| 2018 September | 21 | 6 | 27 |
| 2018 May | 6 | 1 | 7 |
| 2018 April | 9 | 11 | 20 |
| 2018 March | 7 | 7 | 14 |
| 2018 February | 9 | 7 | 16 |
| 2018 January | 5 | 8 | 13 |
| 2017 December | 6 | 15 | 21 |
| 2017 November | 5 | 9 | 14 |
| 2017 October | 7 | 13 | 20 |
| 2017 September | 4 | 6 | 10 |
| 2017 August | 14 | 11 | 25 |
| 2017 July | 3 | 7 | 10 |
| 2017 June | 12 | 14 | 26 |
| 2017 May | 12 | 18 | 30 |
| 2017 April | 6 | 22 | 28 |
| 2017 March | 7 | 39 | 46 |
| 2017 February | 9 | 8 | 17 |
| 2017 January | 6 | 6 | 12 |
| 2016 December | 19 | 14 | 33 |
| 2016 November | 33 | 22 | 55 |
| 2016 October | 36 | 34 | 70 |
| 2016 September | 28 | 16 | 44 |
| 2016 August | 31 | 9 | 40 |
| 2016 July | 28 | 5 | 33 |
| 2016 June | 33 | 7 | 40 |
| 2016 May | 18 | 7 | 25 |
| 2016 April | 16 | 0 | 16 |
| 2016 March | 13 | 1 | 14 |
| 2016 February | 14 | 0 | 14 |
| 2016 January | 26 | 5 | 31 |
| 2015 December | 32 | 13 | 45 |
| 2015 November | 25 | 7 | 32 |
| 2015 October | 11 | 2 | 13 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 1 | 0 | 1 |
Show all
