RT Journal Article T1 COVID-19 in Spain: Transplantation in the midst of the pandemic. A1 Dominguez-Gil, Beatriz A1 Coll, Elisabeth A1 Fernandez-Ruiz, Mario A1 Corral, Esther A1 Del-Rio, Francisco A1 Zaragoza, Rafael A1 Rubio, Juan J A1 Hernandez, Domingo K1 clinical research/practice K1 donors and donation K1 donors and donation: donor evaluation K1 donors and donation: donor-derived infections K1 health services and outcomes research K1 infection and infectious agents - viral K1 infectious disease K1 organ procurement and allocation K1 organ transplantation in general AB 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. PB Elsevier YR 2020 FD 2020-04-30 LK http://hdl.handle.net/10668/15481 UL http://hdl.handle.net/10668/15481 LA en NO Domínguez-Gil B, Coll E, Fernández-Ruiz M, Corral E, Del Río F, Zaragoza R, et al. COVID-19 in Spain: Transplantation in the midst of the pandemic. Am J Transplant. 2020 Sep;20(9):2593-2598 DS RISalud RD Apr 8, 2025