@article{ref1,
title="Analysis of deaths within 24 hours of injury: cost-benefit implications for organ and tissue donations",
journal="Journal of trauma",
year="1996",
author="Malangoni, M. A. and Mancuso, C. and Jacobs, D. G. and Luebke, D. and Fallon, W. F. and McHenry, C. R.",
volume="40",
number="4",
pages="632-635",
abstract="OBJECTIVE: To determine useful predictors of successful organ donation in patients who die within 24 hours of injury (early deaths). DESIGN: Retrospective review of a 3-year experience at a Metropolitan Level I Trauma Center. MATERIALS AND METHODS: All 223 early deaths among 5,719 trauma patients in a 3-year period were reviewed. This group represented 62% of all trauma deaths. RESULTS: Forty-six patients (21%) donated 102 vascularized organs and made 66 donations of tissues. Patients with isolated severe head injuries had the highest rate of successful donation (33%). Those with severe head injury and another severe organ injury had a lower rate of donation (13%), and donation was rare (1%) among patients with severe organ injury in the absence of head injury (p < 0.001). There were no organ donors among victims >65 years old or in 64 of 65 patients with a Revised Trauma Score of <2.2. The Revised Trauma Score was significantly higher in organ donors (3.39 vs. 3.07, p < 0.05). The cost-benefit ratio for early deaths was $6,512 per organ/tissue recovered. CONCLUSIONS: Decisions regarding the resuscitation of trauma patients who have characteristics associated with a recognized low rate of organ donation should be made exclusive of the potential for organ recovery.<p /><p>Language: en</p>",
language="en",
issn="0022-5282",
doi="",
url="http://dx.doi.org/"
}