Evidence map›Paper›PMID 30072409›Full record

ArticleCMAJ open

Organ donation by patients with and without trauma in a Canadian province: a retrospective cohort analysis.

Sara Lanteigne, Mete Erdogan, Alexandra Hetherington, Adam Cameron, Stephen D Beed, Robert S Green

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sara LanteigneDalhousie University Medical School (Lanteigne, Hetherington, Cameron); Trauma Nova Scotia (Erdogan, Green), Nova Scotia Department of Health and Wellness; Department of Critical Care (Beed, Green), Dalhousie University, Halifax, NS.
Mete ErdoganDalhousie University Medical School (Lanteigne, Hetherington, Cameron); Trauma Nova Scotia (Erdogan, Green), Nova Scotia Department of Health and Wellness; Department of Critical Care (Beed, Green), Dalhousie University, Halifax, NS.
Alexandra HetheringtonDalhousie University Medical School (Lanteigne, Hetherington, Cameron); Trauma Nova Scotia (Erdogan, Green), Nova Scotia Department of Health and Wellness; Department of Critical Care (Beed, Green), Dalhousie University, Halifax, NS.
Adam CameronDalhousie University Medical School (Lanteigne, Hetherington, Cameron); Trauma Nova Scotia (Erdogan, Green), Nova Scotia Department of Health and Wellness; Department of Critical Care (Beed, Green), Dalhousie University, Halifax, NS.
Stephen D BeedDalhousie University Medical School (Lanteigne, Hetherington, Cameron); Trauma Nova Scotia (Erdogan, Green), Nova Scotia Department of Health and Wellness; Department of Critical Care (Beed, Green), Dalhousie University, Halifax, NS.
Robert S GreenDalhousie University Medical School (Lanteigne, Hetherington, Cameron); Trauma Nova Scotia (Erdogan, Green), Nova Scotia Department of Health and Wellness; Department of Critical Care (Beed, Green), Dalhousie University, Halifax, NS greenrs@dal.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople who experience trauma represent a large pool of potential organ donors. Our objective was to describe organ donation by patients with and without trauma in Nova Scotia.

methodsWe performed a retrospective cohort study of all patients with trauma in the Nova Scotia Trauma Registry who were injured between Apr. 1, 2009, and Mar. 31, 2016, and died in hospital, as well as all potential organ donors captured in the Nova Scotia Legacy of Life Donor Registry over the same period. We compared characteristics of the 2 groups with respect to organ donation and identified reasons for nondonation.

resultsOverall, 940 patients were included in the analysis, of whom 689 (73.3%) had experienced trauma. Patients with trauma accounted for 37.2% (48/129) of donors. A total of 274 (39.8%) of the patients with trauma were identified as potential organ donors, and 48 (7.0%) donated organs. Only 108 (39.4%) of the 274 were referred to the Legacy of Life Program. The conversion rate (proportion of potential donors who went on to donate an organ) was 84.2% (48/57) among patients with trauma and 83.5% (81/97) among those without trauma. Donation after circulatory death occurred in 8 patients (17%) with trauma and 13 (16%) of those without trauma. Family refusal (28/60 [47%]) and medical unsuitability (16/60 [27%]) were the most common reasons for nondonation among patients with trauma.

interpretationIn Nova Scotia, 40% of patients with trauma who died in hospital were potential organ donors, yet only 39% of these patients were referred for donation. More work is required to improve organ donation within the trauma population.

Identifiers

PMID30072409
PMCPMC6182100

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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.