ISSN:0038-4348    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

To define the size of the donor pool among nontrauma patients and the role of physicians in the limited supply of organs available for transplantation, we reviewed the 1293 nontrauma deaths that occurred in Vanderbilt University Medical Center during a 31-month period. Computerized discharge abstracts showed that 111 adults died without contraindications to organ donation. Manual review of these 111 medical records yielded 68 records suitable for review by Tennessee Donor Services. From this group 10 eligible donors were identified. Physicians failed to ask the families of three patients, families of three patients refused organ donation, and one patient had cardiovascular collapse before the donation process could be completed. Organs were successfully donated from three patients. All eligible donors died of intracerebral hemorrhage or drug overdose. Failure of physicians to approach families for donation was not based on medical criteria, and it resulted in organ wastage. As a result of this study, we have developed a simplified audit process for hospitals to use in evaluating compliance with required request legislation

ISSN:0038-4348    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Organs from brain-dead cadaveric donors have been increasingly used for saving lives and preserving health. During the 5 calendar years 1984 through 1988, specific organ recovery patterns were reported for 10 488 donors of 27 833 vascular organs. Transplantation of 18277 kidneys, 3425 hearts, 2957 livers, and 411 pancreatic grafts (as well as smaller numbers of lung, intestine, heart-lung, and multivisceral grafts) represented an organ utilization rate exceeding 90%. Organ sharing was common and had a beneficial effect overall. Renal allografts from multiorgan donors showed better early function and long-term survival. A steady decrease in organ wastage has been accompanied by a substantial increase in numbers of cadaveric multiorgan donors. The resource of life-saving cadaveric organs is effectively and widely dispersed, allowing increasingly common treatment of end-stage organ failure by transplantation

ISSN:0038-4348    

出版商:OVID    

年代:1990

数据来源: OVID