To estimate the potential for solid organ donation ; to identify modifiable reasons for nondonation.
Retrospective medical records review.
Sixty-nine acute care hospitals in four geographic areas of the United States in 1990, and a stratified random sample of 89 hospitals in three of the same areas and 33 of the same hospitals in 1993.
Patients ¾70 yrs of age who were brain dead and medically suitable for donation.
Standard forms were used to record patient demographic and hospital information.
Reasons for nondonation were coded as « not identified, » « family not asked, » « consent denied, » or « other. » The main outcome measures were rate of donation and rates of nonidentification, not asking, and nonconsent.
Organ donation occurred among 33% (299/916) of medically suitable cases identified in 1990 (95% confidence interval 30% to 36%). Ninety-four potential donors were not identified, 156 were not asked, 326 families denied consent, and 41 potential donors were categorized as « other, » including patients who had suffered a cardiac arrest, and medical examiner prohibition of donation.
In the 1993 study, organ donation occurred in an estimated 33% of suitable cases.
In 1990, rates of donation were highest among patients<50 yrs of age, patients who died of traumatic causes, and non-Hispanic white patients.
Logistic regression showed lower odds of donation for African Am...
Mots-clés Pascal : Don organe, Ethnie, Comportement individuel, Epidémiologie, Homme, Etats Unis, Amérique du Nord, Amérique, Rétrospective, Transplantation, Donneur organe
Mots-clés Pascal anglais : Organ donation, Ethnic group, Individual behavior, Epidemiology, Human, United States, North America, America, Retrospective, Transplantation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0200357
Code Inist : 002B27C. Création : 199608.