Fatal gunshot wounds to the head: a critical appraisal of organ donation rates.
Am J Surg
; 200(6): 728-33; discussion 733, 2010 Dec.
Article
em En
| MEDLINE
| ID: mdl-21146012
ABSTRACT
BACKGROUND:
Patients sustaining fatal gunshot wounds to the head are often young, without associated comorbidities, and are potentially ideal transplantation candidates.METHODS:
A 5-year review of a level I trauma center's prospective database was performed for all patients sustaining fatal gunshot wounds to the head. Demographic, physiologic, anatomic, and laboratory variables were collected.RESULTS:
Sixty-eight patients were identified, of whom 10 (14.7%) were organ donors. Of 25 admitted to the intensive care unit who eventually did not become donors, 15 (60%) were due to lack of consent.CONCLUSIONS:
Despite frequent intensive care unit admissions, organ donation is infrequent following fatal gunshot wounds to the head, primarily because of lack of consent. Improved communication with next of kin could improve organ recovery and reduce futile care in this group.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Ferimentos por Arma de Fogo
/
Obtenção de Tecidos e Órgãos
/
Traumatismos Cranianos Penetrantes
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Estados Unidos