• Resuscitation · Jan 2018

    Uncontrolled donation programs after out-of-hospital cardiac arrest. An estimation of potential donors.

    • Jose Maria Navalpotro-Pascual, Alfredo Echarri-Sucunza, Alonso Mateos-Rodríguez, Francisco Peinado-Vallejo, Del Valle Patricia Fernández PF Hospital Virgen del Rocío, Sevilla, Andalucía, Spain., Daniel Alonso-Moreno, Carmen Del Pozo-Pérez, María V Mier-Ruiz, Jose Ignacio Ruiz-Azpiazu, José Bravo-Castello, Natalia Martinez-Cuellar, Antonia Sáez-Jiménez, Carmen López-Unanua, Roberto Antón-Ramas, María Del Carmen Escriche-López, Jose Manuel Giraldo-Sebastià, Mª José García-Ochoa, Enrique Martín-Sánchez, Diego Borraz-Clares, Del Valle Marta Martínez MM SAMU-Asturias, Asturias, Spain., Cristina Carriedo-Scher, and Fernando Rosell-Ortiz.
    • SUMMA 112, Madrid, Spain. Electronic address: chemanp@gmail.com.
    • Resuscitation. 2018 Jan 1; 122: 87-91.

    ObjectiveTo determine the number of potential deceased organ donors from out-of- hospital cardiac arrest cases (OHCA) attended by public physician-led emergency medical services in Spain, based on data recorded in the nationwide Spanish OHCA Registry (OHSCAR).Material And MethodsWe analysed OHSCAR data on deceased OHCA patients in Spain during 13 months (1/10/2013 to 31/10/2014). Variables included age, sex, estimated OHCA time, cardiopulmonary resuscitation (CPR) start time and outcome. Inclusion criteria were: age 16-60 years, witnessed OHCA, no return of spontaneous circulation (ROSC) and time interval <15min between OHCA occurrence and CPR initiation.ResultsOf a total 8789 cases, 3290 met the age criteria; of these, CPR was not witnessed in 745 cases. Among the remaining 2545 patients, 141 were included in uncontrolled donation after cardiac death (uDCD) programs, 902 arrived at the hospital with ROSC, 64 arrived with ongoing CPR and 15 cases were lost to follow-up. Of the remaining 1423 without ROSC, CPR initiation time was not recorded in 454 cases and 398 did not meet the time criteria <15min between OHCA and CPR initiation. Finally, 571 met all the criteria and could have been potential donors. There were significant differences in the actual donors percentage from potential donors percentage between provinces with and without donor programs (141/322=43.8% versus 0/390=0%), but there were no differences in ROSC between the two types of provinces (418/1320=31.7% versus 652/1970=33.4%).ConclusionsMany potential donors are missed in current clinical practice. uDCD programs are few and underused even in a country with high rates of organ transplantation.Copyright © 2017 Elsevier B.V. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…