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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">An&#225;lisis retrospectivo de las propuestas de trasplante pulmonar recibidas desde 1990 a 1994&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Durante los cinco primeros a&#241;os del Programa de Trasplante Pulmonar del Hospital Val&#237; d&#8217;Hebron se han recibido 208 propuestas de pacientes procedentes de todo el Estado&#46; Las afecciones m&#225;s frecuentes han sido el conjunto bron-quiectasias y fibrosis qu&#237;stica &#40;29&#37;&#41;&#44; los pacientes afectados de enfermedad pulmonar obstructiva cr&#243;nica &#40;25&#37;&#41; y los remitidos con el diagn&#243;stico de fibrosis pulmonar &#40;16&#44;5&#37;&#41;&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La evaluaci&#243;n se realiz&#243; de acuerdo con los criterios inter-nacionalmente establecidos para el trasplante pulmonar&#44; analiz&#225;ndose retrospectivamente los resultados de la misma&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Despu&#233;s de una primera evaluaci&#243;n de la informaci&#243;n remitida por su neum&#243;logo&#44; 100 pacientes &#40;49&#37;&#41; fueron considerados candidatos para ser sometidos a un estudio m&#225;s extenso en el hospital&#46; De ellos&#44; 53 &#40;25&#37;&#41; fueron finalmente incluidos en la lista de espera activa&#46; Veintisiete de estos 53 &#40;12&#44;9&#37;&#41; fueron trasplantados&#44; mientras que seis fallecieron durante la espera y el resto permanec&#237;a el 31 de diciembre de 1994 en lista activa&#46; La mortalidad global de los pacientes rechazados&#44; excluidos los que no ten&#237;an a&#250;n criterios de gravedad y los que se hallaban en estado ag&#243;nico&#44; desde la consulta hasta la finalizaci&#243;n del estudio&#44; fue de 36&#47;123 &#40;29&#37;&#41;&#46; La supervivencia actuarial a los 12 y 24 meses de los pacientes trasplantados ha sido del 64 y el 49&#37;&#44; respectivamente&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En conclusi&#243;n&#44; despu&#233;s de seguir los m&#233;todos de selecci&#243;n actualmente aceptados&#44; uno de cada 4 pacientes propuestos ha podido ser finalmente incluido en la lista de espera activa&#46; En la presente serie&#44; y en comparaci&#243;n con otros programas&#44; destaca el relativamente escaso n&#250;mero de pacientes afectados de enfermedad pulmonar obstructiva cr&#243;nica&#44; cifra que asumimos ir&#225; en aumento en los pr&#243;ximos a&#241;os&#46;</p></span>"
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        "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&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Between 1990 and 1994 the Lung Transplant Program at Hospital Vall d&#8217;Hebron received 208 referrals from all over Spain&#46; The cases most often involved a combination of bron-chiectasia and cystic fibrosis &#40;29&#37;&#41;&#44; chronic obstructive pul-monary disease &#40;25&#37;&#41; and pulmonary fibrosis &#40;16&#46;5&#37;&#41;&#46;</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&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">After first evaluating the report sent by the patient&#39;s pneumologist&#44; 100 patients &#40;49&#37;&#41; were considered candida-tes for further hospital study&#46; Of the 100&#44; 53 &#40;25&#37;&#41; were fi-nally placed on an active waiting list&#46; Twenty-seven &#40;12&#46;9&#37;&#41; of the 53 received transplants&#44; 6 died while waiting&#44; and the others remained on the waiting list on 31 December 1994&#46; Mortality among the rejected patients between the first visit until the end of the study&#44; excluding those who were not yet classifled as serious cases and those who were terminally ill&#44; was 36&#47;123 &#40;29&#37;&#41;&#46; Actuarial survival rates at 12 and 24 months for transplanted patients were 64 and 49&#37;&#44; respec-tively&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">After following the currently accepted screening methods&#44; one in 4 patients referred for possible lung transplantation was finally given a place on the active waiting list&#46; The series studied here is noteworthy for the relatively low number of patients with chronic obstructive pulmonary disease in comparison with other programs&#44; although we expect the number to increase in the coming years&#46;</p></span>"
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Vol. 32. Issue 6.
Pages 280-284 (June - July 1996)
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Vol. 32. Issue 6.
Pages 280-284 (June - July 1996)
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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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4169
F. Morell1, A. Román, C. Bravo, F. Nicolau, S. Martí, Grupo de Trasplante Pulmonar del Hospital Vall d’Hebron *
Servicio de Neumología. Hospital General Universitari Vall d’ Hebron. Barcelona
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Análisis retrospectivo de las propuestas de trasplante pulmonar recibidas desde 1990 a 1994.

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%).

La evaluación se realizó de acuerdo con los criterios inter-nacionalmente establecidos para el trasplante pulmonar, analizándose retrospectivamente los resultados de la misma.

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.

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.

Palabras clave:
Trasplante pulmón

Retrospective analysis of the patients referred for possible lung transplants between 1990 and 1994.

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%).

Internationally established guidelines for lung transplan-tation were used to screen the cases and the results have been analyzed retrospectively.

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.

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.

Key words:
Lung transplantation
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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).

Copyright © 1996. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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