دورية أكاديمية
[Survival after heart transplantation in Norway].
| العنوان: | [Survival after heart transplantation in Norway]. |
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| عنوان ترانسليتريتد: | Overlevelse etter hjertetransplantasjon i Norge. |
| المؤلفون: | Simonsen S; Hjertemedisinsk avdeling, Rikshospitalet-Radiumhospitalet, 0027 Oslo. svein.simonsen@rikshospitalet.no, Andreassen AK, Gullestad L, Leivestad T, Fiane AE, Geiran OR |
| المصدر: | Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke [Tidsskr Nor Laegeforen] 2007 Mar 29; Vol. 127 (7), pp. 865-8. |
| نوع المنشور: | English Abstract; Journal Article |
| اللغة: | Norwegian |
| بيانات الدورية: | Publisher: Norske Laegeforening Country of Publication: Norway NLM ID: 0413423 Publication Model: Print Cited Medium: Internet ISSN: 0807-7096 (Electronic) Linking ISSN: 00292001 NLM ISO Abbreviation: Tidsskr Nor Laegeforen Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Oslo : Norske Laegeforening Original Publication: Chistiania : Alb. Cammermeyer, 1880- |
| مواضيع طبية MeSH: | Heart Transplantation/*mortality, Adult ; Age Factors ; Cohort Studies ; Female ; Follow-Up Studies ; Graft Rejection/etiology ; Graft Rejection/mortality ; Heart Failure/surgery ; Heart Transplantation/adverse effects ; Humans ; Male ; Middle Aged ; Norway/epidemiology ; Postoperative Complications/mortality ; Prognosis |
| مستخلص: | Background: Heart transplantation has been a treatment option in Norway for selected patients with terminal congestive heart failure since 1983. The number of transplants is limited by donor availability. Few Norwegian doctors are aware of the challenges to be expected in taking care of heart transplant recipients. In the present paper we therefore present our experience so far. Material and Methods: We have followed individuals within our patient cohort for up to 22 years. The cohort consists of 522 patients (mean age 48.8 years +/- 13.6), somewhat unequally distributed from various parts of the country, reflecting the local referring practice. We have a complete overview of the patients who are partly followed up locally, but come to a control at least once a year at our hospital. Results and Interpretation: Mean survival in these patients is 12 years. With an expected survival of less than one year without transplantation, these are strong results that compare well with international figures. Patients younger than 50 years at transplantation have the best prognosis regardless of donor age, while the combination of patients older than 50 years and donor above 35 years have the poorest chance of survival. However, patients are disposed to various severe complications. Initially after transplantation acute rejection, unspecific graft failure and infections are a threat; while complications such as chronic graft sclerosis, renal failure and cancer are complications that appear over time. To optimise results, life-long regular follow up is necessary. |
| تواريخ الأحداث: | Date Created: 20070417 Date Completed: 20070418 Latest Revision: 20080716 |
| رمز التحديث: | 20240628 |
| PMID: | 17435806 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0807-7096 |
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