<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902019000100006</article-id>
<article-id pub-id-type="doi">10.29193/rmu.35.1</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trasplante pulmonar en Uruguay. Avances en curso para la consolidación del programa]]></article-title>
<article-title xml:lang="en"><![CDATA[Lung transplant in Uruguay. Progress in motion for the consolidation of the program]]></article-title>
<article-title xml:lang="pt"><![CDATA[Transplante pulmonar no Uruguai. Avanços atuais para a consolidação del programa]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tommasino]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chao]]></surname>
<given-names><![CDATA[Cecilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Musetti]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bertolotti]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lattanzio]]></surname>
<given-names><![CDATA[Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caneva]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dibarboure]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Osses]]></surname>
<given-names><![CDATA[Juan Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carriquiry]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Curbelo]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Donación y Trasplante  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Maciel Instituto del Tórax ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de República Hospital de Clínicas Cátedra de Neumología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Fundación Favaloro Hospital Universitario ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Maciel Instituto del Tórax ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Maciel Instituto del Tórax ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Hospital Maciel Instituto del Tórax ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>6</fpage>
<lpage>25</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902019000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902019000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902019000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  en Uruguay funciona desde el año 2003 un programa de trasplante pulmonar (TP) mediante un convenio binacional con la República Argentina, con Fundación Favaloro, centro regional de referencia.  Objetivos:  describir los resultados del programa y herramientas en curso para mejorar la procuración pulmonar en Uruguay.  Material y método:  estudio descriptivo, retrospectivo, entre 2003 y 2017. Recopilación de datos del registro electrónico y análisis mediante SPSS.  Resultados:  ingresaron a lista 70 pacientes, 27 fueron trasplantados, 95% se reinsertaron a actividades sociales o laborales. Las etiologías fueron enfisema (33%), fibrosis quística (26%) y fibrosis pulmonar idiopática (11%). Las complicaciones más frecuentes fueron infecciones respiratorias y alteraciones de la vía aérea. La mortalidad postrasplante es 34% y la supervivencia mediana condicional supera los ocho años. La elevada mortalidad en lista (32%) impulsó el establecimiento de nuevas estrategias de procuración pulmonar. Destacamos: seguimiento longitudinal de pacientes, modificación de umbral de convocatoria, realización de maniobras de reclutamiento alveolar, realización sistemática de fibrobroncoscopía; minimización de tiempos de traslado y entrenamiento de equipo quirúrgico uruguayo para ablación. La procuración pulmonar pasó de 0 por millón de población (pmp) en 2014 y 2015 a 1,8 pmp en 2017.  Conclusiones:  el Programa Uruguayo de Trasplante Pulmonar ha tenido importantes avances. Los últimos dos años han sido claves para el crecimiento de la procuración pulmonar. Los resultados, la sobrevida y la morbimortalidad son comparables a los descritos internacionalmente. Las perspectivas a futuro serán consolidar el programa en un centro de referencia y realización de ablación e implante en nuestro territorio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  a program for Lung Transplant (LT) has been operative in Uruguay since 2003, by means of a bi-national agreement with Fundación Favaloro, a regional reference center in Argentina.  Method:  descriptive, retrospective study performed between 2003 and 2017. Data in the electronic register was compiled and analyzed using SPSS (Statistical Package for the Social Sciences).  Results:  70 patients were entered in the list, 27 of which underwent transplant surgery, 95% of them resumed social like and/or work. Etiologies included emphysema (33%), cystic fibrosis (26%) and idiopathic pulmonary fibrosis (11%). The most frequent complications were respiratory infections and alterations in the airway. Post-transplant mortality is 34% and conditional median survival is higher than 8 years. The increased mortality in the list (32%) encouraged development of new strategies for lung procurement. The following facts are pointed out: longitudinal follow-up of patients, modification of the calling threshold, the performance of alveolar recruitments maneuvers, the systematic performance of fibrobroncoscopy, minimization of transport times and training of the Uruguayan surgical team for ablation. Lung procurement increased from 0 per million of population (pm) in 2014 to 1.8 pmp in 2017.  Conclusions:  the Uruguayan program for LT has evidenced significant progress. The last two years have been essential for the increase of lung procurement. Results, survival and morbi-mortality are comparable to those described globally. Future perspectives will focus on consolidating the program in a reference center and performing ablation and implants in our country.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  desde 2003 funciona no Uruguai um programa de Transplante Pulmonar (TP) através de um convenio binacional com Argentina, com Fundación Favaloro, centro regional de referência.  Objetivos:  descrever os resultados do programa e as ferramentas que estão sendo utilizadas para melhorar a procuração pulmonar no Uruguai.  Materiais e métodos:  estudo descritivo, retrospectivo do período 2003-2017. Coleta de dados do registro eletrônico e análise com o programa SPSS.  Resultados:  ingressaram à lista 70 pacientes; 27 foram transplantados dos quais 95% voltaram a atividades sociais e/ou de trabalho. As etiologias foram enfisema (33%), fibrose cística (26%) e fibrose pulmonar idiopática (11%). As complicações mais frequentes foram as infecções respiratórias e alterações da via aérea. A mortalidade pós-transplante foi de 34% e a sobrevida mediana condicional foi superior a 8 anos. Dada la elevada mortalidade na lista de espera (32%) novas estratégias de procuração pulmonar foram estabelecidas. Destacamos: seguimento longitudinal dos pacientes, modificação do umbral de convocatória, realização de manobras de recrutamento alveolar, realização sistemática de fibrobroncoscopia, minimização dos tempos de traslado e capacitação da equipe uruguaia de cirurgia em ablação. A procuração pulmonar passou de 0 por milhão de habitantes (pmp) em 2014 e 2015 a 1.8 pmp em 2017.  Conclusões:  o Programa Uruguaio de TP mostrou importantes avanços. Os últimos 2 anos foram fundamentais para o crescimento da procuração pulmonar. Os resultados, a sobrevida e a morbimortalidade são comparáveis aos descritos na literatura internacional. As perspectivas para o futuro são consolidar o programa em um centro de referência e a realização de ablação e implante no nosso território.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trasplante de pulmón]]></kwd>
<kwd lng="es"><![CDATA[Uruguay]]></kwd>
<kwd lng="es"><![CDATA[Argentina]]></kwd>
<kwd lng="es"><![CDATA[Selección de paciente]]></kwd>
<kwd lng="en"><![CDATA[Lung transplantation]]></kwd>
<kwd lng="en"><![CDATA[Uruguay]]></kwd>
<kwd lng="en"><![CDATA[Argentina]]></kwd>
<kwd lng="en"><![CDATA[Patient selection]]></kwd>
<kwd lng="pt"><![CDATA[Transplante de pulmão]]></kwd>
<kwd lng="pt"><![CDATA[Uruguai]]></kwd>
<kwd lng="pt"><![CDATA[Argentina]]></kwd>
<kwd lng="pt"><![CDATA[Seleção de pacientes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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