Please use this identifier to cite or link to this item:
Title: Análisis de cuatro años de funcionamiento de un programa de donante a corazón parado extrahospitalario
Filiation: SUMMA112
Keywords: Emergency medical services,Kidney,Non-heart-beating donors
Mesh: Emergency Medical Services
Decs: Donantes de Tejidos
Issue Date: Apr-2010
Citation: Mateos Rodríguez AA, Cepas Vázquez J, Navalpotro Pascual JM, Martín Maldonado ME, Barba Alonso C, Pardillos Ferrer L, et al. Análisis de cuatro años de funcionamiento de un programa de donante a corazón parado extrahospitalario. Emergencias. 2010;22:96-100.
Abstract: Background and objective: The emergency medical service of Madrid (SUMMA112) participates in a program to facilitate organ donation from patients in cardiorespiratory arrest who do not respond to advanced cardiopulmonary resuscitation maneuvers before arriving at the hospital. Patients who meet the criteria for inclusion are transferred to a transplant unit for extraction of organs while resuscitation maneuvers continue. The aim of this study was to determine time intervals under the program, the percentage of donors, the characteristics of donors and nondonors, and the number of organs obtained. Material and methods: Descriptive, retrospective study of donors and organs obtained through the participation of SUMMA112 in the donation program over a 4-year period (2005-2009), based on review of medical records. The following data were extracted: age, sex, time until arrival of the ambulance, time until arrival at the hospital, number of organs donated, and type of organ donated. We also recorded the reason for not donating: patient refusal, family refusal, pump failure, biologically nonviable state, and other. Results: A total of 132 cases (85% male) were found. The mean age of patients was 40 years. The mean time until arrival of emergency caregivers at the scene was 14 minutes, 55 seconds. The mean time until arrival at the hospital was 92 minutes. Three hundred fifty-six organs (158 kidneys, 16 livers, 97 corneas, 72 bone tissues, and 13 lungs) were obtained, corresponding to 2.3 organs per patient; 27.3% of the patients were nonviable donors. There were no age or sex differences between viable and nonviable donors. Reasons for not donating were failure of extracorporeal circulation (8.3%), refusal of the family (13.9%) or the patient while alive (2.8%), biologically nonviable state (44.4%), and other (30.6%). Conclusion: A considerable number of organs are donated through this program, which helps to solve the problem of lengthening transplant wait lists.
Rights: info:eu-repo/semantics/openAccess
ISSN: 1137-6821
Appears in Collections:Otros centros dependientes de la Consejería de Sanidad > SUMMA112 > Artículos

Files in This Item:
File Description SizeFormat 
Emergencias-2010_22_2_96-100 .pdf462,33 kBAdobe PDFThumbnail

This item is licensed under a Creative Commons License Creative Commons