P Af Geijerstam1, S Forsberg1, A Claesson1, T Djärv1, M Jonsson1, P Nordberg1, A Tibell2, F Rosell Ortiz3, M Ringh4. 1. Karolinska Institutet, Department of Medicine, Solna, Sweden; Center for Resuscitation Science, Stockholm, Sweden. 2. Karolinska Institutet, Department of Learning, Informatics, Management and Ethics, Solna, Sweden. 3. Empresa Pública de Emergencias Sanitarias, Almería, Andalucía, Spain. 4. Karolinska Institutet, Department of Medicine, Solna, Sweden; Center for Resuscitation Science, Stockholm, Sweden. Electronic address: mattias.ringh@ki.se.
Abstract
BACKGROUND: Donation after brain death (DBD) is current praxis in Sweden. Circulatory death is far more common. Donation from patients suffering Out-of-Hospital Cardiac Arrest (OHCA) may have the potential to increase the organ-donor pool. The aim of this study was to describe the potential donor pool and its characteristics if uncontrolled donation after circulatory death (uDCD) were to be implemented in the metropolitan area of Stockholm, Sweden. METHODS: A retrospective analysis was made using data from the Swedish Register for cardiopulmonary resuscitation (SRCR) between 2006 and 2015. Evaluation of potential organ donors was made using selection criteria from five previously published protocols concerning uDCD. RESULTS: When applying different criteria from each of the five studied protocols in a total of 9,793 cases of OHCA, between 7.5% (n=732) and 1.5% (n=150) of the patients were found to be potential candidates for uDCD. The median age of the sampled uDCD candidates in each protocol was between 48 and 57 years. Male donors were found in 67-76% of all cases. CONCLUSION: Although not taking important real-life limitations into account, our results indicate that implementation of a uDCD programme may substantially increase the number of potential organ donors in Stockholm.
BACKGROUND: Donation after brain death (DBD) is current praxis in Sweden. Circulatory death is far more common. Donation from patients suffering Out-of-Hospital Cardiac Arrest (OHCA) may have the potential to increase the organ-donor pool. The aim of this study was to describe the potential donor pool and its characteristics if uncontrolled donation after circulatory death (uDCD) were to be implemented in the metropolitan area of Stockholm, Sweden. METHODS: A retrospective analysis was made using data from the Swedish Register for cardiopulmonary resuscitation (SRCR) between 2006 and 2015. Evaluation of potential organ donors was made using selection criteria from five previously published protocols concerning uDCD. RESULTS: When applying different criteria from each of the five studied protocols in a total of 9,793 cases of OHCA, between 7.5% (n=732) and 1.5% (n=150) of the patients were found to be potential candidates for uDCD. The median age of the sampled uDCD candidates in each protocol was between 48 and 57 years. Male donors were found in 67-76% of all cases. CONCLUSION: Although not taking important real-life limitations into account, our results indicate that implementation of a uDCD programme may substantially increase the number of potential organ donors in Stockholm.
Authors: Frederick D'Aragon; Olivier Lachance; Vincent Lafleur; Ivan Ortega-Deballon; Marie-Helene Masse; Gabrielle Trepanier; Daphnee Lamarche; Marie-Claude Battista Journal: Open Access Emerg Med Date: 2022-08-05
Authors: Andrew Fu Wah Ho; Timothy Xin Zhong Tan; Ejaz Latiff; Nur Shahidah; Yih Yng Ng; Benjamin Sieu-Hon Leong; Shir Lynn Lim; Pin Pin Pek; Han Nee Gan; Desmond Renhao Mao; Michael Yih Chong Chia; Si Oon Cheah; Lai Peng Tham; Marcus Eng Hock Ong Journal: Scand J Trauma Resusc Emerg Med Date: 2021-07-28 Impact factor: 2.953