COVID-19 in Spain: Transplantation in the midst of the pandemic
COVID-19 in Spain: Transplantation in the midst of the pandemic
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DOI：
10.1111/ajt.15983
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发表时间：
2020-05-27
影响因子：
8.8
通讯作者：
Hernandez, Domingo
中科院分区：
文献类型：
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作者：
Dominguez-Gil, Beatriz;Coll, Elisabeth;Hernandez, Domingo
西班牙是受新冠肺炎 (COVID-19) 疫情影响最严重的国家之一。截至2020年4月28日，确诊病例数为210773例，其中康复患者102548例，重症监护病房收治病例超过10300例，死亡病例23822例，全球病死率为11.3%。从捐献和移植的角度来看，西班牙系统首先关注安全问题，为捐献者评估和检测提供建议，并在移植前排除潜在受者的SARS-CoV-2感染。自从该国进入持续社区传播和重症监护饱和的流行病学情况以来，捐赠和移植程序的制定变得非常复杂。自2020年3月13日西班牙宣布全国进入警戒状态以来，平均捐献者数量从每天7.2人下降至1.2人，平均移植数量从每天16.1人下降至2.1人。等待名单上死亡率的增加可能会成为这场可怕的流行病的附带损害。
Spain has been one of the most affected countries by the COVID-19 outbreak. As of April 28, 2020, the number of confirmed cases is 210 773, including 102 548 patients recovered, more than 10 300 admitted to the ICU, and 23 822 deaths, with a global case fatality rate of 11.3%. From the perspective of donation and transplantation, the Spanish system first focused on safety issues, providing recommendations for donor evaluation and testing, and to rule out SARS-CoV-2 infection in potential recipients prior to transplantation. Since the country entered into an epidemiological scenario of sustained community transmission and saturation of intensive care, developing donation and transplantation procedures has become highly complex. Since the national state of alarm was declared in Spain on March 13, 2020, the mean number of donors has declined from 7.2 to 1.2 per day, and the mean number of transplants from 16.1 to 2.1 per day. Increased mortality on the waiting list may become a collateral damage of this terrible pandemic.