Very old patients with spontaneous cerebral hemorrhage are an important group of potential organ donors

Andrés, Amado; Casado, M.; Cebrian, Prado; Vereda, M; Vázquez, Sofía; Morales, Enrique; Ramos, Ana; Escudero, L.; Montejo, Juan Carlos; Montero, Alex; Alted, E.

doi:10.1016/s0041-1345(99)00515-1

Cited by 3 publications

(4 citation statements)

References 3 publications

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“…One study investigated all spontaneous intracerebral hemorrhage patients to determine how many potential donors were not approached due to not being ventilated. 23 They found that 12/15 (86%) of these patients died in the ED. 23 The authors of this study highlighted the ethical considerations in ventilating a person exclusively for organ donation.…”

Section: Neurologic Determination Of Deathmentioning

confidence: 99%

“…23 They found that 12/15 (86%) of these patients died in the ED. 23 The authors of this study highlighted the ethical considerations in ventilating a person exclusively for organ donation.…”

Section: Neurologic Determination Of Deathmentioning

confidence: 99%

“…There were four death reviews that screened for potential organ donors using pre-specified organ donor criteria; however, the criteria varied between studies or was not specified in the paper. [22][23][24][25] Two studies found that 8%-86% of hospital-wide potential donors die in the ED. 22,23 Two studies found that 2%-7.2% of patients who die in the ED could be potential donors.…”

Section: Neurologic Determination Of Deathmentioning

confidence: 99%

“…[22][23][24][25] Two studies found that 8%-86% of hospital-wide potential donors die in the ED. 22,23 Two studies found that 2%-7.2% of patients who die in the ED could be potential donors. 24,25 A summary of these papers can be found in Table 2.…”

Section: Neurologic Determination Of Deathmentioning

confidence: 99%

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Solid organ donation from the emergency department – A systematic review

McCallum

Ellis

Dhanani

et al. 2019

CJEM

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ObjectivesA significant gap exists between people awaiting an organ transplant and organ donors. The purpose of this study was to determine what percent of successful donors come from the emergency department (ED), whether there are any missed donors, and to identify factors associated with successful and missed donation.MethodsThis systematic review used electronic searches of EMBASE, MEDLINE, and CINAHL according to PRISMA guidelines on July 7, 2017. We included primary literature in adults describing successful and missed organ donation. Two authors independently screened articles, and discrepancies were resolved through consensus. Quality was assessed using the STROBE checklist.ResultsThis systematic review identified 1,058 articles, and 25 articles were included. For neurologic determination of death, ED patients comprised 4%–50% of successful donors and 3.6%–8.9% of successful donors for donation after circulatory determination of death. ED death reviews revealed up to 84% of missed neurologic determination of death, and 46.2% of missed circulatory determination of death donors who died in the ED are missed due to a failure to refer for consideration of organ donation. Clinical heterogeneity precluded pooling of the data to conduct a meta-analysis.ConclusionsThe ED is a source of actual and missed donors. Potential donors are often missed due to incorrect assumptions regarding eligibility criteria and failure of the healthcare team to refer for consideration of donation. ED healthcare professionals should be aware of organ donation referral protocols at their institution to ensure that no organ donors are missed.

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Section: Neurologic Determination Of Deathmentioning

confidence: 99%

Section: Neurologic Determination Of Deathmentioning

confidence: 99%

Section: Neurologic Determination Of Deathmentioning

confidence: 99%

Section: Neurologic Determination Of Deathmentioning

confidence: 99%

See 2 more Smart Citations

Solid organ donation from the emergency department – A systematic review

McCallum

Ellis

Dhanani

et al. 2019

CJEM

View full text Add to dashboard Cite

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La esteatosis hepática grave en el donante de órganos: valor diagnóstico de la tomografía computarizada abdominal

et al. 2002

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Elective non-therapeutic intensive care and the four principles of medical ethics

et al. 2013

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The chronic worldwide lack of organs for transplantation and the continuing improvement of strategies for in situ organ preservation have led to renewed interest in elective non-therapeutic ventilation of potential organ donors. Two types of situation may be eligible for elective intensive care: patients definitely evolving towards brain death and patients suitable as controlled non-heart beating organ donors after life-supporting therapies have been assessed as futile and withdrawn. Assessment of the ethical acceptability and the risks of these strategies is essential. We here offer such an ethical assessment using the four principles of medical ethics of Beauchamp and Childress applying them in their broadest sense so as to include patients and their families, their caregivers, other potential recipients of intensive care, and indeed society as a whole. The main ethical problems emerging are the definition of beneficence for the potential organ donor, the dilemma between the duty to respect a dying patient's autonomy and the duty not to harm him/her, and the possible psychological and social harm for families, caregivers other potential recipients of therapeutic intensive care, and society more generally. Caution is expressed about the ethical acceptability of elective non-therapeutic ventilation, along with some proposals for precautionary measures to be taken if it is to be implemented.

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Very old patients with spontaneous cerebral hemorrhage are an important group of potential organ donors

Cited by 3 publications

References 3 publications

Solid organ donation from the emergency department – A systematic review

Solid organ donation from the emergency department – A systematic review

La esteatosis hepática grave en el donante de órganos: valor diagnóstico de la tomografía computarizada abdominal

Elective non-therapeutic intensive care and the four principles of medical ethics

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