Organ donor potential and performance : Size and nature of the organ donor shortfall.
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.
Measurements and Main Results
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.