Nathan H M, Jarrell B E, Broznik B, Kochik R, Hamilton B, Stuart S, Ackroyd T, Nell M
Delaware Valley Transplant Program, Philadelphia, PA 19103.
Transplantation. 1991 Jan;51(1):142-9. doi: 10.1097/00007890-199101000-00022.
The Pennsylvania Statewide Donor Study evaluated deaths under the age of 66 occurring in 149 participating hospitals in 1987. After elimination of 6146 patients from 11,983 based upon ICD-9 code criteria, an on-site medical record review was performed on 5603 patients. Each patient was assessed for organ donor suitability based upon brain death and medical suitability criteria--and, after a series of eliminations, 453 patients were found to have a moderate or higher potential as acceptable organ donors. An estimation of the organ donor rate was placed between 38.3 and 55.2 donors per million population per year, depending upon the stringency of organ donor criteria. Educational efforts targeted at physicians, patient's families and transplant surgeons will be necessary, however, to attain this maximal rate.
宾夕法尼亚州全州捐赠者研究评估了1987年在149家参与研究的医院中发生的66岁以下死亡病例。根据国际疾病分类第九版(ICD - 9)编码标准,从11983名患者中排除6146名后,对5603名患者进行了现场病历审查。根据脑死亡和医学适宜性标准对每位患者进行器官捐赠适宜性评估,经过一系列排除后,发现453名患者有中度或更高潜力成为可接受的器官捐赠者。根据器官捐赠标准的严格程度,估计器官捐赠率为每年每百万人口38.3至55.2名捐赠者。然而,要达到这一最高比率,有必要针对医生、患者家属和移植外科医生开展教育工作。