Expanding the donor lung pool: how many donations after circulatory death organs are we missing?
| Autor: | Curtis G. Tribble, Irving L. Kron, Robert B. Hawkins, Victor E. Laubach, James H. Mehaffey, Eric J. Charles, Ashish Sharma, William Z. Chancellor, Carrie A. Foster |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Tissue and Organ Procurement Adolescent medicine.medical_treatment Pulmonary disease 030204 cardiovascular system & hematology 030230 surgery Article 03 medical and health sciences Young Adult 0302 clinical medicine Internal medicine Medicine Lung transplantation Humans Aged Lung business.industry Cancer Middle Aged medicine.disease Circulatory death Tissue Donors Surgery Transplantation medicine.anatomical_structure Donation Potential donor business Lung Transplantation |
| Zdroj: | The Journal of surgical research. 223 |
| ISSN: | 1095-8673 |
| Popis: | BACKGROUND: The number of patients with end-stage pulmonary disease awaiting lung transplantation is at an all-time high, while the supply of available organs remains stagnant. Utilizing donation after circulatory death (DCD) donors may help to address the supply-demand mismatch. The objective of this study is to determine the potential donor pool expansion with increased procurement of DCD organs from patients who die at hospitals. MATERIAL AND METHODS: The charts of all patients who died at a single, rural, quaternary-care institution between August 2014 and June 2015 were reviewed for lung transplant candidacy. Inclusion Criteria were age 65 years (n=497, 58%). Those without cancer totaled 778 (90.8%) and 512 (59%) did not have lung pathology. This leaves 85 patients qualifying for DCD lung donation (Pediatric n=10, Young n=75, and Old n=0). Potential donors were significantly more likely to have clear chest X-rays (24.3% vs 10.0%, p |
| Databáze: | OpenAIRE |
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