Szabolcs Zoltán, Hartyánszky István, Hüttl Tivadar, Fazekas Levente, Balogh Orsolya, Becker Dávid, Soós Pál, Varga Tamás, Paulovich Erzsébet, Németh Endre, Rácz Kristóf, Horkay Ferenc, Merkely Béla
Semmelweis Egyetem, Általános Orvostudományi Kar, Ér- és Szívgyógyászati Klinika, Budapest, Városmajor utca 68. 1122.
Orv Hetil. 2013 Jun 2;154(22):863-7. doi: 10.1556/OH.2013.29622.
The Hungarian adult heart transplant program, which started in 1992, has changed gradually in the past 20 years. After the early enthusiasm of the first cases it changed significantly and it became an organized programme. However, low donation activity and moderate referral numbers to the national transplant waiting list slowed down the process therefore, heart transplant numbers did not fulfill expectations in the early years. After a moderate increase in 2007 transplant numbers have dropped again until recently when Hungary partially joined Eurotransplant network. Excess fundamental resources allocated to cardiac transplantation by health care professionals and reorganizing transplant coordination as well as logistics forced dramatic changes in clinical management. In 2011 and 2012 major structural changes had been made at Semmelweis University. The newly established transplant intensive care unit and the initiation of mechanical circulatory support and assist device programme increased transplant numbers by 131% compared to previous years, as well as it resulted an 86.63% 30-day survival rate, hence last year was the most successful year of cardiac transplantation ever.
匈牙利成人心脏移植项目始于1992年，在过去20年中逐渐发生了变化。在最初几例手术带来的早期热情之后，该项目发生了显著变化，并成为一个有组织的项目。然而，低捐赠活动以及向国家移植等候名单的转诊数量适中减缓了这一进程，因此，心脏移植数量在最初几年未达预期。在2007年适度增加之后，移植数量再次下降，直到最近匈牙利部分加入欧洲移植网络。医疗保健专业人员分配给心脏移植的基础资源过多，以及移植协调和后勤的重组迫使临床管理发生了巨大变化。2011年和2012年，塞梅尔维斯大学进行了重大结构调整。新设立的移植重症监护病房以及机械循环支持和辅助设备项目的启动，使移植数量比前几年增加了131%，同时30天生存率达到了86.63%，因此去年是心脏移植有史以来最成功的一年。
