ArticleIntensive care medicine2013
The incidence of potential missed organ donors in intensive care units and emergency rooms: a retrospective cohort.
Article in Intensive care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guidelines for the assessment and acceptance of potential brain-dead organ donors.Revista Brasileira de terapia intensiva · 2016Guideline
- Characteristics and Practices of High-Performing Centers in Organ Donor Identification and Referral: A Qualitative Study.Canadian journal of kidney health and disease · 2024Article
- Automated screening of potential organ donors using a temporal machine learning model.Scientific reports · 2023Article
- Time to CT scan for patients with acute severe neurological symptoms: a quality assurance study.Scientific reports · 2022Article
- Donation after circulatory death and lung transplantation.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022Review
- The Suitability of Potential Organ Donors Using Real Case-Scenarios; Do we Need to Create a "Donor Board" Process for Donors Perceived as Unlikely Suitable?Transplant international : official journal of the European Society for Organ Transplantation · 2022Article
- Organ donation after controlled cardiocirculatory death: confidence by clarity.Intensive care medicine · 2021Article
- Assessing comfort level of organ donation competencies among pediatric intensivists in Saudi Arabia: a national survey.BMC medical education · 2020Article
- Improving donor management and transplantation success: more research is needed.Intensive care medicine · 2015Article
- Eligibility for organ donation following end-of-life decisions: a study performed in 43 French intensive care units.Intensive care medicine · 2014Observational
- Reglaze your glasses! : The unused potential of organ donors in times of high demand.Intensive care medicine · 2014Article
- Year in review in Intensive Care Medicine 2013: II. Sedation, invasive and noninvasive ventilation, airways, ARDS, ECMO, family satisfaction, end-of-life care, organ donation, informed consent, safety, hematological issues in critically ill patients.Intensive care medicine · 2014Article
- What's new in organ donation: better care of the dead for the living.Intensive care medicine · 2013Review
- 'In plain language': uniform criteria for organ donor recognition.Intensive care medicine · 2013Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is a shortage of organ donors in Canada. The number of potential organ donors that are not referred to organ procurement organizations in Canada is unknown.
methodsWe conducted a retrospective cohort study of all deaths in ICUs and emergency rooms not referred to the Human Organ Procurement and Exchange Program in four hospitals between 1 January 2008 and 31 December 2010. The primary outcome was the number of normal and expanded criteria heart-beating donors and circulatory death (DCD) donors.
resultsOf 2,931 deaths, 64 patients were identified as having a high probability for progression to heart-beating donation (Glasgow Coma Score of 3 and three or more absent brainstem reflexes) and 130 patients were assessed for possible DCD donation. The number of potential abdominal and lung heart-beating donors ranged from 3.2 to 7.5 and 0.5 to 2.7 per million population. The number of potential DCD abdominal and lung donors ranged from 3.9 to 6.5 and 2.7 to 4.3 per million population. Potential heart-beating abdominal (p = 0.04) and lung (p = 0.06) donors increased after legislation mandating donation discussion. Non-pupillary brainstem reflexes were documented in fewer than 60 % of records. Life-sustaining treatment was withdrawn in 19 of 46 (41.3 %) cardiac arrest patients not requiring high doses of vasoactive drugs within 24 h.
conclusionThe number of heart-beating or DCD organ donors represented by missed referrals may represent up to 7.5 donors per million population. Improved documentation of brainstem reflexes and encouraging referral of patients suffering cardiac arrest to ICU specialists may improve donor numbers.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.