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National survey of potential heart beating solid organ donors in Sweden.

Författare och institution:
Claes Möller (Institutionen för neurovetenskap och fysiologi, sektionen för arbetsterapi, audiologi och fysioterapi); Anna-Karin Welin (Institutionen för kliniska vetenskaper, sektionen för kvinnors och barns hälsa, Avdelningen för obstetrik och gynekologi); Bengt-Åke Henriksson (Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi. Avdelningen för anestesiologi och intensivvård); A Rydvall (-); K Karud (-); T Nolin (-); I Brorson (-); Lars Nilsson (Institutionen för kliniska vetenskaper, sektionen för kvinnors och barns hälsa, Avdelningen för obstetrik och gynekologi); D Lundberg (-)
Publicerad i:
Transplantation proceedings, 41 ( 2 ) s. 729-31
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
Sweden has about 135 heart beating solid organ donors per year among 9.2 million inhabitants. Earlier estimations have suggested that 250-300 of potential heart beating donors might be available in the country annually. The present study is the first nationwide survey to establish the number of potential heart-beating donors, based on all patient deaths in Swedish intensive care units (ICUs). In the present study, a potential heart-beating solid organ donor was strictly defined as "a patient in an ICU on mechanical ventilation with the diagnosis of brain death." All 85 eligible ICUs reported all patient deaths over a 3 month period of October through December 2007. The instrument consisted of 10 questions. The majority of data were entered electronically by the ICU staff into the "Swedish Intensive Care Registry." The total number of reported patient deaths was 875 with 7.4% of patients who died meeting the criteria for a potential heart-beating solid organ donor. Actually 51% of them became donors. Reasons for not becoming a donor were refusals in 31%, medical reasons in 14%, impossibility to obtain consent in 1.5%, and no suitable recipient in 3%. Furthermore, 1.5% of patients did not become donors because of preferential forensic examinations. The main conclusion of the study was that the actual number of potential heart-beating solid organ donors in Sweden seems to be less than earlier estimates. Another interesting observation is the existence of a group of artificially ventilated, brain injury patients in whom the death was diagnosed by cardiac arrest. We think that this group of patient deaths deserves further investigation in future projects.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin ->
Anestesi och intensivvård
Brain Death, Health Systems Agencies, Heart Arrest, Heart Rate, Humans, Intensive Care Units, statistics & numerical data, Patient Selection, Registries, Sweden, Tissue Donors, legislation & jurisprudence, statistics & numerical data, Tissue and Organ Procurement, legislation & jurisprudence, statistics & numerical data
Postens nummer:
Posten skapad:
2012-02-02 11:26

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