Evidence map›Paper›PMID 40175076›Full record

ArticleJournal of trauma and injury2025

Changes in the clinical features and demographics of donors after brain death, before and after the establishment of a regional trauma center: 20 years of experience at a single center in Korea.

Myung Jin Jang, Sang Tae Choi, Gil Jae Lee, Doo Jin Kim, Won Suk Lee

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Article in Journal of trauma and injury, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Myung Jin JangDepartment of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Sang Tae ChoiDivision of Vascular and Transplantation, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Gil Jae LeeDepartment of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Doo Jin KimDepartment of Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Won Suk LeeDepartment of Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOrgan transplantation is considered the definitive treatment for end-stage organ disease. However, the scarcity of donor organs compared to the number of patients awaiting transplants is a major barrier. This study aimed to assess the impact of a regional trauma center on organ procurement and to provide a basis for future collaboration between regional trauma centers and transplant centers.

methodsThis retrospective study analyzed organ donors after brain death over a 20-year period from January 1, 2003, to December 31, 2022. It compared patients before and after the establishment of the regional trauma center, as well as trauma and nontrauma patients. The study investigated general patient characteristics and the number and types of donated organs.

resultsThe average age of patients significantly increased from 37.75 years before the trauma center was established to 46.72 years after (t=-4.32, P<0.001). The organ acquisition rate significantly increased from 3.03 before to 3.47 after (t=-2.96, P=0.003). Suicide (t=6.52, P=0.011) and cardiopulmonary resuscitation cases were more common among nontrauma patients than among trauma patients (t=8.34, P=0.004). However, the organ acquisition rate was significantly higher among trauma patients than among nontrauma patients (3.53 vs. 3.21; t=2.04, P=0.004).

conclusionsThis study identified changes in the characteristics and donor organs of patients diagnosed with brain death after the establishment of a regional trauma center. Given the increase in the proportion of trauma patients and the rate of organ acquisition per capita post-establishment, efforts should be made to encourage organ donation from patients diagnosed with brain death through close collaboration between regional trauma centers and organ transplant centers.

Indexed as

Brain deathOrgan transplantationTissue and organ procurementTrauma centers

Identifiers

PMID40175076
PMCPMC11968307

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