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  1. Analysis of deaths within 24 hours of injury : Cost-benefit implications for organ and tissue donations.

    Article, Communication - En anglais

    Annual Meeting of the Eastern Association for the Surgery of Trauma. Freeport, Bahamas USA, 1994/01/12.

    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.

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0230677

    Code Inist : 002B27B08. Création : 199608.