Increasing organ donation after cardiac death in trauma patients.

Authors :: Joseph B
Khalil M
Pandit V
Orouji Jokar T
Cheaito A
Kulvatunyou N
Tang A
O'Keeffe T
Vercruysse G
Green DJ
Friese RS
Rhee P
Source :: American journal of surgery [Am J Surg] 2015 Sep; Vol. 210 (3), pp. 468-72. Date of Electronic Publication: 2015 May 16.
Publication Year :: 2015
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.<br />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.<br />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.<br />Conclusions: DCD from trauma donors provides a significant source of solid organs. The proportion of DCD donors increased significantly over the last 12 years.<br /> (Copyright © 2015 Elsevier Inc. All rights reserved.)