Feest T G, Riad H N, Collins C H, Golby M G, Nicholls A J, Hamad S N
Renal Unit, Royal Devon and Exeter Hospital, UK.
Lancet. 1990 May 12;335(8698):1133-5. doi: 10.1016/0140-6736(90)91134-v.
In a district general hospital serving 303,000 people, deaths from cerebrovascular incidents over 12 months were analysed retrospectively. 8 patients who died in general wards were identified as potential organ donors. A working party then devised a protocol for managing such donors by transfer to the intensive care unit for support until organ retrieval could be arranged. In the first 19 months with the protocol, organs (1 heart, 2 sets of heart valves, 2 livers, and 16 kidneys) were retrieved from 8 patients who would not otherwise have become donors. If these results were replicated nationally a further 16.7 donors per million per year would be added to the current annual UK rate of 14.6 donors per million.
在一家为30.3万人服务的地区综合医院，对12个月内脑血管事件导致的死亡病例进行了回顾性分析。8名在普通病房死亡的患者被确定为潜在器官捐献者。随后，一个工作小组制定了一项管理此类捐献者的方案，即将他们转移到重症监护室进行支持，直到能够安排器官获取。在该方案实施的前19个月，从8名原本不会成为捐献者的患者身上获取了器官（1颗心脏、2组心脏瓣膜、2个肝脏和16个肾脏）。如果这些结果在全国范围内得到推广，那么每年每百万人口中将会在英国目前每年每百万14.6名捐献者的基础上再增加16.7名捐献者。
