Annual Meeting of the Eastern Association for the Surgery of Trauma. Freeport, Bahamas USA, 1994/01/12.
To determine useful predictors of successful organ donation in patients who die within 24 hours of injury (early deaths).
Retrospective review of a 3-year experience at a Metropolitan Level I Trauma Center.
All 223 early deaths among 5,719 trauma patients in a 3-year period were reviewed.
This group represented 62% of all trauma deaths.
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.
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.
Mots-clés Pascal : Polytraumatisme, Evolution, Mort, Don organe, Tissu, Relation, Localisation, Intérêt, Réanimation, Analyse avantage coût, Homme, Traumatisme
Mots-clés Pascal anglais : Multiple injury, Evolution, Death, Organ donation, Tissue, Relation, Localization, Interest, Resuscitation, Cost benefit analysis, Human, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0230677
Code Inist : 002B27B08. Création : 199608.