Increasing organ donation after cardiac death in trauma patients - 14/08/15
, Mazhar Khalil, M.D. a, Viraj Pandit, M.D. a, Tahereh Orouji Jokar, M.D. a, Ali Cheaito, M.D. b, Narong Kulvatunyou, M.D. a, Andrew Tang, M.D. a, Terence O'Keeffe, M.D. a, Gary Vercruysse, M.D. a, Donald J. Green, M.D. a, Randall S. Friese, M.D. a, Peter Rhee, M.D. aAbstract |
Background |
Organ donation after cardiac death (DCD) is not optimal but still remains a valuable source of organ donation in trauma donors. The aim of this study was to assess national trends in DCD from trauma patients.
Methods |
A 12-year (2002 to 2013) retrospective analysis of the United Network for Organ Sharing database was performed. Outcome measures were the following: proportion of DCD donors over the years and number and type of solid organs donated.
Results |
DCD resulted in procurement of 16,248 solid organs from 8,724 donors. The number of organs donated per donor remained unchanged over the study period (P = .1). DCD increased significantly from 3.1% in 2002 to 14.6% in 2013 (P = .001). There was a significant increase in the proportion of kidney (2002: 3.4% vs 2013: 16.3%, P = .001) and liver (2002: 1.6% vs 2013: 5%, P = .041) donation among DCD donors over the study period.
Conclusions |
DCD from trauma donors provides a significant source of solid organs. The proportion of DCD donors increased significantly over the last 12 years.
Le texte complet de cet article est disponible en PDF.Highlights |
• | DCD increased from 3.1% in 2002 to 14.6% in 2013 in trauma donors. |
• | Solid organs donated after DCD increased from 2% in 2002 to 9.5% in 2013. |
• | Increased DCD kidney and liver donation over the study period. |
• | DCD is a viable source of solid organs from potential trauma organ donors. |
Keywords : Organ donation, Donation after cardiac death, Donation after circulatory collapse, Trauma donors
Plan
| There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs. |
|
| The authors declare no conflicts of interest. |
Vol 210 - N° 3
P. 468-472 - septembre 2015 Retour au numéro
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