Jansen N E, van Leiden H A, Sieber-Rasch M H, Hoitsma A J, Haase-Kromwijk B J J M
Nederlandse Transplantatie Stichting, Postbus 2304, 2301 CH Leiden.
Ned Tijdschr Geneeskd. 2007 Mar 24;151(12):696-701.
To assess the number of potential organ donors and the main reasons why organ donation is not performed.
Retrospective.
The number of potential heart-beating (HB) and non-heart-beating (NHB) donors was assessed by reviewing the medical records of 588o patients who died between 2001 and 2004 in 52 intensive-care units (ICUs) in 30 hospitals. The number of actual donations was also assessed.
The potential of HB donors was 2.5 to possibly 6.6% of all ICU deaths and HB donation was performed in 1.9% of all ICU deaths. The potential of NHB donors of category III was at least 4.2% of all ICU deaths and NHB donation was performed in 1.0% of all ICU deaths. The main difficulty in the donation process was objection from family members, which was reported in 45% of all potential HB and NHB donors and in 59% of all donation requests to relatives. Of the potential HB and NHB donors 7.3% were not identified as potential donors.
These results confirm that organ-donor potential is greater than the number of actual donations. Objection from family members is the main limiting factor.
评估潜在器官捐献者的数量以及未进行器官捐献的主要原因。
回顾性研究。
通过查阅2001年至2004年间30家医院52个重症监护病房（ICU）中5880例死亡患者的病历，评估潜在心跳（HB）和非心跳（NHB）捐献者的数量。同时也评估了实际捐献的数量。
HB捐献者的潜在比例为所有ICU死亡患者的2.5%至可能的6.6%，而HB捐献在所有ICU死亡患者中占1.9%。III类NHB捐献者的潜在比例至少为所有ICU死亡患者的4.2%，而NHB捐献在所有ICU死亡患者中占1.0%。捐献过程中的主要困难是家庭成员的反对，在所有潜在HB和NHB捐献者中有45%报告了这一情况，在向亲属提出的所有捐献请求中有59%报告了这一情况。在潜在HB和NHB捐献者中，7.3%未被识别为潜在捐献者。
这些结果证实器官捐献者的潜力大于实际捐献的数量。家庭成员的反对是主要限制因素。
