RESUMO
The Pennsylvania Statewide Donor Study evaluated deaths under the age of 66 occurring in 149 participating hospitals in 1987. After elimination of 6146 patients from 11,983 based upon ICD-9 code criteria, an on-site medical record review was performed on 5603 patients. Each patient was assessed for organ donor suitability based upon brain death and medical suitability criteria--and, after a series of eliminations, 453 patients were found to have a moderate or higher potential as acceptable organ donors. An estimation of the organ donor rate was placed between 38.3 and 55.2 donors per million population per year, depending upon the stringency of organ donor criteria. Educational efforts targeted at physicians, patient's families and transplant surgeons will be necessary, however, to attain this maximal rate.
Assuntos
Transplante de Rim , Doadores de Tecidos/estatística & dados numéricos , Adulto , Idoso , Humanos , Pessoa de Meia-Idade , Educação de Pacientes como Assunto , PennsylvaniaAssuntos
Doadores de Tecidos/estatística & dados numéricos , Obtenção de Tecidos e Órgãos/estatística & dados numéricos , Cadáver , Causas de Morte , Humanos , Mortalidade , Pennsylvania , Estudos Retrospectivos , Doadores de Tecidos/classificação , Obtenção de Tecidos e Órgãos/organização & administraçãoRESUMO
Methods for combination of donor nephrectomy with donor cardiectomy are outlined. The satisfactory early function of 29 of 34 transplanted kidneys harvested with these techniques supports their wider application and should encourage their wider acceptance.