Citation

Choperena G, Azaldegui F, Arcega I, Alberdi F, Marco P, Ibarguren K, Reviejo K, Romo E, Mintegi I, Aranzabal J, Olaizola P, González-Sañudo A, Laviñeta E, Murgialdai A, Lara G, Trabanco S, Zubia F, Olano JM, Fernández A, Unanue J, Merino M, Aranzabal R, Baigorri MC, Carnicero MA, Goenaga L, Lauda I, Lezaún J, Pinedo PX, Pradini I, Querejeta L, Ramírez A, Verano V, Darpeix J, Campagne JM, Monki T, Bonnemaison N, Lalane E, Brillaxis P, Mathieu P, Mariescu M, Goulard J, N'Guyen P, Michandel P. Med. Intensiva 2002; 26(9): 442-447.

Copyright

(Copyright © 2002, Elsevier Publishing)

DOI

10.1016/S0210-5691(02)79830-6

PMID

unavailable

Abstract

Introduction. Organ extraction from non-hert-beating donors could enlarge the pool of organs available from traditional organ donation programs in brain death. Before implementing a programme of this type, we believe that the number of potential donors should be estimated. Material and methods. We performed a prospective study of all deaths from multiple trauma in the province of Gipuzkoa between 1 January 1995 and 31 December 1998. The criteria for potential non-heart-beating donors were the following: possibility of starting cardiopulmonary resuscitation maneuvers in less than 15 min and of starting perfusion methods within 120 min of cardiac arrest, multiple injuries not caused by homicide or suicide, age older than 16 years and younger than 50 years, and absence of penetrating thoracic and abdominal lesions.

RESULTS. During the study period, 687 patients died form multiple injuries (244 per 1,000,000 inhabitants/year, of which 329 could be resuscitated in less than 15 min and transferred to the tertiary hospital within an appropiate time; exclusion criteria were found in 198 individuals. Of the remaining 131 patients, 77 showed internal lesions at autopsy that would have made resuscitation ineffective. Consequently, the number of potential donors would be 13.5/year (19.3 per 1,000,000 inhabitants).

CONCLUSIONS. Our results can be extrapoled to other regions with similar characteristics. The methodology used in our study could be valid for this aim.

Language: es

Keywords

abdominal penetrating trauma; adolescent; aged; article; autopsy; brain death; controlled study; heart perfusion; heart transplantation; homicide; hospital; human; major clinical study; medical assessment; medical education; methodology; mortality; multiple trauma; Multiple trauma; Non-heart beating donors; organ donor; prospective study; resuscitation; Spain; suicide; thorax disease; Transplantation