Increasing organ donation after cardiac death in trauma patients.

Abstract

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.

• Authors: Bellal Joseph, Mazhar Khalil, Viraj Pandit, Tahereh Orouji Jokar, Ali Cheaito, Narong Kulvatunyou, Andrew Tang, Terence O'Keeffe, Gary Vercruysse, Donald J Green, Randall S Friese, Peter Rhee
• Journal: American journal of surgery (Am J Surg) Vol. 210 Issue 3 Pg. 468-72 (Sep 2015) ISSN: 1879-1883 [Electronic] United States
• PMID: 26060001 (Publication Type: Journal Article)
• Copyright: Copyright © 2015 Elsevier Inc. All rights reserved.

Topics

• Databases, Factual
• Humans
• Retrospective Studies
• Tissue Donors (supply & distribution)
• Tissue and Organ Procurement (statistics & numerical data, trends)
• United States (epidemiology)
• Wounds and Injuries (mortality)