Navigating the COVID-19 pandemic: Initial impacts and responses of the Organ Procurement and Transplantation Network in the United States
Autor: | David K. Klassen, Amber R. Wilk, Maureen A. McBride, Alice E Toll, Rebecca R. Goff |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Tissue and Organ Procurement Waiting Lists Coronavirus disease 2019 (COVID-19) infectious disease organ procurement and allocation Organ transplantation infection and infectious agents ‐ viral Pandemic medicine Humans Immunology and Allergy organ transplantation in general Pharmacology (medical) donors and donation: deceased organ procurement Pandemics Deceased donor kidney Transplantation Geographic area SARS-CoV-2 business.industry COVID-19 Original Articles Organ Transplantation Organ Procurement and Transplantation Network (OPTN) ethics and public policy Tissue Donors United States Organ procurement Emergency medicine Original Article donors and donation: living Living donor transplantation business |
Zdroj: | American Journal of Transplantation |
ISSN: | 1600-6135 |
DOI: | 10.1111/ajt.16411 |
Popis: | COVID-19 has been sweeping the globe, hitting the United States particularly hard with a state of emergency declared on March 13, 2020. Transplant hospitals have taken various precautions to protect patients from potential exposure. OPTN donor, candidate, and transplant data were analyzed from January 5, 2020 to September 5, 2020. The number of new waiting list registrations decreased, with the Northeast seeing over a 50% decrease from the week of 3/8 versus the week of 4/5. The national transplant system saw near cessation of living donor transplantation (-90%) from the week of 3/8 to the week of 4/5. Similarly, deceased donor kidney transplant volume dropped from 367 to 202 (-45%), and other organs saw similar decreases: lung (-70%), heart (-43%), and liver (-37%). Deceased donors recovered dropped from 260 to 163 (-45%) from 3/8 compared to 4/5, including a 67% decrease for lungs recovered. The magnitude of this decrease varied by geographic area, with the largest percent change (-67%) in the Northeast. Despite the pandemic, discard rates across organ has remained stable. Although the COVID-19 pandemic continues to evolve, OPTN data show recent evidence of stabilization, an indication that an early recovery of the number of living and deceased donors and transplants has ensued. |
Databáze: | OpenAIRE |
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