title: Early mortality after cardiac transplantation: comparison of demographic, clinical, biological and surgical variables.
abstract: Cardiac transplantation is the last alternative for those patients in terminal heart failure. However, its mortality is high, and approximately 20% of patients die in the first month after cardiac transplantation. We retrospectively reviewed 116 patients transplanted at our center in the last 6 years. Data about clinical, biological and surgical variables were collected. We undertook a multivariate analysis in order to find differences between those patients who died in the first month and those who survived. We found statistically significant differences in total ischemia time (P = .036) and extracorporeal circulation time (P = .001), with those patients that died in the first month having longer times. We also found a statistically significant difference in the weight of the recipient, with those recipients that died in the first month having a higher weight (P = .03). No statistically significant differences were found in the other variables. Of particular interest was the absence of a significant association in both groups (survival <1 month vs survival >1 month) in the variables related to pulmonary hypertension (pulmonary half-time pressure, pulmonary systolic pressure, vascular pulmonary resistances).
authors.affiliation: U.G. Área del Corazón, Servicio de Cardiología, Virgen del Rocío University Hospital, Seville, Spain. scp@telefonica.net
authors.forename: P
authors.initials: P
authors.lastname: Cristobo Sáinz
authors.forename: E
authors.initials: E
authors.lastname: Lage Gallé
authors.forename: M
authors.initials: M
authors.lastname: Sobrino Márquez
authors.forename: A
authors.initials: A
authors.lastname: Guisado Rasco
authors.forename: J
authors.initials: J
authors.lastname: Acosta Martínez
authors.forename: S
authors.initials: S
authors.lastname: Casquero Domínguez
authors.forename: A
authors.initials: A
authors.lastname: Martínez Martínez
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003710:Demography; D005260:Female; D016027:Heart Transplantation / Q000401:mortality*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012189:Retrospective Studies; D055815:Young Adult