title: Spanish Heart Transplantation Registry. 26th Official Report of the Spanish Society of Cardiology Working Group on Heart Failure and Heart Transplantation (1984-2014).
abstract: OBJECTIVE
  We present the characteristics and outcomes of heart transplantation in Spain since it was first performed in 1984.
  
  
  METHODS
  A descriptive analysis of the characteristics of recipients, donors, the surgical procedure, and the outcomes of heart transplantations performed in Spain until 31 December 2014.
  
  
  RESULTS
  In 2014, 266 procedures were performed, making a time series of 7289 transplantations. The temporal analysis confirmed a significant worsening of the clinical profile of recipients (higher percentage of older patients, patients with severe renal failure, insulin-dependent diabetes, previous cardiac surgery, and previous mechanical ventilation), of donors (higher percentage of older donors and greater weight mismatch), and of the procedure (higher percentage of emergency transplantations, reaching 41.4% in 2014, and ischemia time>240min). Mechanical assist devices were used less than in 2013; in 2014 they were used in 18.8% of all transplant recipients. Survival at 1, 5, 10, and 15 years was 76%, 65%, 52%, and 38%, respectively, and has remained stable since 1995.
  
  
  CONCLUSIONS
  Cardiac transplantation activity in Spain has remained stable in recent years, at around 250 procedures per year. Despite a clear deterioration in donor and recipient characteristics and surgical times, the mortality outcomes have remained comparable to those of previous periods in our environment. The growing use of circulatory assist devices before transplantation is also confirmed.
authors.affiliation: Registro Español de Trasplante Cardiaco, Sección de Insuficiencia Cardiaca y Trasplante Cardiaco, Sociedad Española de Cardiología, Madrid, Spain; Servicio de Cardiología, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Cantabria, Spain. Electronic address: cargvf@gmail.com.
authors.forename: Francisco
authors.initials: F
authors.lastname: González-Vílchez
authors.affiliation: Servicio de Cardiología, Clínica Puerta de Hierro, Majadahonda, Madrid, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Segovia Cubero
authors.affiliation: Servicio de Cardiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: Almenar
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario de A Coruña, Instituto de Investigación Biomédica de A Coruña (INIBIC), A Coruña, Spain.
authors.forename: María G
authors.initials: MG
authors.lastname: Crespo-Leiro
authors.affiliation: Servicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, Spain.
authors.forename: José M
authors.initials: JM
authors.lastname: Arizón
authors.affiliation: Servicio de Cardiología (Adultos), Hospital Universitario Gregorio Marañón, Madrid, Spain.
authors.forename: Adolfo
authors.initials: A
authors.lastname: Villa
authors.affiliation: Hospital Universitario 12 de Octubre, Madrid, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Delgado
authors.affiliation: Hospital Universitario de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: Eulalia
authors.initials: E
authors.lastname: Roig
authors.affiliation: Hospital Universitario Virgen del Rocío, Seville, Spain.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Lage
authors.affiliation: Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: José
authors.initials: J
authors.lastname: González-Costello
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D002309:Cardiology; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology; D004630:Emergencies; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006333:Heart Failure / Q000453:epidemiology / Q000601:surgery* / Q000628:therapy; D016027:Heart Transplantation; D006353:Heart-Assist Devices / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D012042:Registries; D051437:Renal Insufficiency / Q000453:epidemiology; D012720:Severity of Illness Index; D012955:Societies, Medical; D013030:Spain; D015996:Survival Rate; D014019:Tissue Donors; D066027:Transplant Recipients; D055815:Young Adult
keywords: Heart transplantation; Registro; Registry; Supervivencia; Survival; Trasplante cardiaco