Cheng D, Ku P
Department of Emergency Medicine, University Hospital, New Jersey, USA.
Transplant Proc. 2009 Jun;41(5):1463-5. doi: 10.1016/j.transproceed.2008.12.033.
To determine public attitudes about an emergency department (ED)-based organ-donor enrollment program.
A total of 211 non-acutely ill patients treated in the ED of a 300-bed urban university hospital between November 1, 2004, and January 2, 2005, were asked to complete a survey. Surveys were obtained over six 4-hour daytime intervals.
Of the 211 patients, 199 completed the survey and 12 refused. One hundred sixty-four patients (82%; 95% confidence interval [CI], 77%-88%) were interested in organ-donation information via the ED; 173 (87%; 95% CI, 82%-92%) approved of the ED providing organ-donation cards; and 82 (41%; 95% CI, 34%-48%) were current organ-donor cardholders. Of 117 patients who were not current organ-donor cardholders, 65 (56%; 95% CI, 46%-66%) stated that they would be willing to enroll in an ED-based organ-donor card program. Fifty-seven patients (49%, 95% CI, 39%-58%) were African American, and 35 of these (61%; 95% CI, 48%-74%) said they would obtain an organ-donor card via the ED. Overall, 137 of 199 patients (69%; 95% CI, 62%-75%) preferred ED organ donation information in written form, and the remainder preferred a personal interview or lecture.
An ED organ-donation enrollment program would be acceptable to patients and effective in capturing groups who currently do not have organ-donor cards.
确定公众对基于急诊科（ED）的器官捐献者登记计划的态度。
2004年11月1日至2005年1月2日期间，在一家拥有300张床位的城市大学医院急诊科接受治疗的211名非急症患者被要求完成一项调查。调查在六个4小时的白天时间段内进行。
211名患者中，199名完成了调查，12名拒绝。164名患者（82%；95%置信区间[CI]，77%-88%）对通过急诊科获取器官捐献信息感兴趣；173名患者（87%；95%CI，82%-92%）赞成急诊科提供器官捐献卡；82名患者（41%；95%CI，34%-48%）是当前的器官捐献卡持有者。在117名非当前器官捐献卡持有者中，65名（56%；95%CI，46%-66%）表示愿意参加基于急诊科的器官捐献卡计划。57名患者（49%，95%CI，39%-58%）是非裔美国人，其中35名（61%；95%CI，48%-74%）表示他们会通过急诊科获取器官捐献卡。总体而言，199名患者中有137名（69%；95%CI，62%-75%）更喜欢以书面形式获取急诊科器官捐献信息，其余患者更喜欢个人访谈或讲座。
急诊科器官捐献登记计划对患者来说是可以接受的，并且在吸引目前没有器官捐献卡的人群方面是有效的。
