Abstract
Background: Blunt trauma patients without vital signs on admission are potential non-heart-beating donors. Objective: To review the feasibility of postmortem visceral perfusion and organ donation in blunt trauma patients without vital signs. Design: A retrospective case series of blunt trauma victims who were declared dead in the emergency department. Setting: A level I trauma center. Main Outcome Measures: Factors potentially precluding donation and potential donor yield. Results: The mean trauma-to-death interval was 71 minutes (<60 minutes in 57% of the cases). Injuries likely to interfere with in situ perfusion were present in 41% of the cases. The tissue donation consent rate was 45%. Assuming a similar organ donation consent rate, the potential donor yield was 9% after excluding victims who were younger than 60 years of age, warm ischemia times that were less than 60 minutes, and patients who had injuries precluding perfusion. Conclusions: The potential organ yield from non-heart-beating, blunt trauma victims is low, which highlights the ethical and legal problems of this approach.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 929-934 |
| Number of pages | 6 |
| Journal | Archives of Surgery |
| Volume | 131 |
| Issue number | 9 |
| State | Published - Sep 1996 |
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ASJC Scopus subject areas
- Surgery
Cite this
The feasibility of organ salvage from non-heart-beating trauma donors. / Wisner, David H; Lo, Bernard.
In: Archives of Surgery, Vol. 131, No. 9, 09.1996, p. 929-934.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The feasibility of organ salvage from non-heart-beating trauma donors
AU - Wisner, David H
AU - Lo, Bernard
PY - 1996/9
Y1 - 1996/9
N2 - Background: Blunt trauma patients without vital signs on admission are potential non-heart-beating donors. Objective: To review the feasibility of postmortem visceral perfusion and organ donation in blunt trauma patients without vital signs. Design: A retrospective case series of blunt trauma victims who were declared dead in the emergency department. Setting: A level I trauma center. Main Outcome Measures: Factors potentially precluding donation and potential donor yield. Results: The mean trauma-to-death interval was 71 minutes (<60 minutes in 57% of the cases). Injuries likely to interfere with in situ perfusion were present in 41% of the cases. The tissue donation consent rate was 45%. Assuming a similar organ donation consent rate, the potential donor yield was 9% after excluding victims who were younger than 60 years of age, warm ischemia times that were less than 60 minutes, and patients who had injuries precluding perfusion. Conclusions: The potential organ yield from non-heart-beating, blunt trauma victims is low, which highlights the ethical and legal problems of this approach.
AB - Background: Blunt trauma patients without vital signs on admission are potential non-heart-beating donors. Objective: To review the feasibility of postmortem visceral perfusion and organ donation in blunt trauma patients without vital signs. Design: A retrospective case series of blunt trauma victims who were declared dead in the emergency department. Setting: A level I trauma center. Main Outcome Measures: Factors potentially precluding donation and potential donor yield. Results: The mean trauma-to-death interval was 71 minutes (<60 minutes in 57% of the cases). Injuries likely to interfere with in situ perfusion were present in 41% of the cases. The tissue donation consent rate was 45%. Assuming a similar organ donation consent rate, the potential donor yield was 9% after excluding victims who were younger than 60 years of age, warm ischemia times that were less than 60 minutes, and patients who had injuries precluding perfusion. Conclusions: The potential organ yield from non-heart-beating, blunt trauma victims is low, which highlights the ethical and legal problems of this approach.
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UR - http://www.scopus.com/inward/citedby.url?scp=0029758843&partnerID=8YFLogxK
M3 - Article
C2 - 8790177
AN - SCOPUS:0029758843
VL - 131
SP - 929
EP - 934
JO - JAMA Surgery
JF - JAMA Surgery
SN - 2168-6254
IS - 9
ER -