Johnson C M, Miller S L, Kurek S J, Lagares-Garcia J A, Broznick B A, Nathan H
Department of Surgery, University of Missouri, Columbia, Missouri, USA.
J Trauma. 2001 Jul;51(1):110-7. doi: 10.1097/00005373-200107000-00018.
Organ procurement organizations (OPOs) operate under the premise that Americans would donate organs and/or tissue if placed in appropriate circumstances. This study evaluated opinions of Pennsylvania trauma surgeons regarding OPOs and organ donation.
Ninety-six Pennsylvania trauma surgeons were surveyed and descriptive results calculated.
Ninety percent were familiar with criteria for organ donation, and about 76% would invoke their institution's brain death policy even if families did not desire to donate organs. A small portion did not routinely pronounce patients brain dead that met criteria. One fourth indicated trauma surgeons should have no role in requesting organs. A majority believed trauma surgeons should have a role in organ donation requests, either alone or with an OPO representative, and most indicated that they could influence a family's decision.
Requestor attitude is important, and our results show an overall positive attitude toward donation and a solid level of knowledge regarding donor eligibility. Hospital development programs to improve donation consent should emphasize decoupling of brain death discussion and donation request, work to improve staff attitudes about approaching patients, and address donor eligibility criteria.
器官获取组织（OPO）的运作前提是，在适当情况下美国人会捐赠器官和/或组织。本研究评估了宾夕法尼亚州创伤外科医生对OPO和器官捐赠的看法。
对96名宾夕法尼亚州创伤外科医生进行了调查，并计算了描述性结果。
90%的人熟悉器官捐赠标准，约76%的人即使家属不希望捐赠器官，也会援引其所在机构的脑死亡政策。一小部分人不会对符合标准的患者常规宣布脑死亡。四分之一的人表示创伤外科医生在请求捐赠器官方面不应发挥作用。大多数人认为创伤外科医生应单独或与OPO代表一起在器官捐赠请求中发挥作用，大多数人表示他们可以影响家属的决定。
请求者的态度很重要，我们的结果显示对捐赠总体持积极态度，对捐赠者资格有扎实的了解。医院改善捐赠同意的发展项目应强调将脑死亡讨论与捐赠请求脱钩，努力改善工作人员对待患者的态度，并解决捐赠者资格标准问题。
