CADAVERIC ORGAN DONOR AVAILABILITY - REGIONAL TRAUMA CENTER VS COMMUNITY-HOSPITAL

被引:10
作者
CHEUNG, AHS
LUNA, GK
机构
[1] Department of Surgery, School of Medicine, University of Washington, Seattle
关键词
D O I
10.1097/00005373-199011000-00009
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Organ donor shortage is now the greatest limitation to the success of organ transplantation. To assess and compare the role of a regional trauma center in identifying and referring cadaveric organ donors to that of a community hospital, we retrospectively reviewed records of potential cadaveric organ donors during a comparable 5-year period in each. The trauma center (TC) contributed 44 donors, while the community hospital (CH) supplied seven. Five hundred sixty-five possible donors were not harvested at the TC, compared to 126 at the CH. While most “non-donors” from both institutions were not suitable candidates, 8% could have served as good organ donors. Inability to obtain consent was the major obstacle in obtaining good candidates (70% at CH, 83% at TC). Failure to recognize and refer possible donors occurred in 2% of the cases at CH, compared to 0.4% at the TC. We conclude that regional trauma centers can play an important role in alleviating organ donor shortage. © 1990 by The Williams and Wilkins Co.
引用
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页码:1366 / 1371
页数:6
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