Department of Liver Transplantation, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Transpl Int. 2011 May;24(5):477-81. doi: 10.1111/j.1432-2277.2011.01230.x. Epub 2011 Feb 5.
Uncontrolled donation after cardiac death (DCD) could increase the donor pool in the UK. Air ambulance (AA) teams may be well placed to recruit these donors. They cover large geographical areas, have short transfer times and tasked predominantly to life-threatening cases. The potential to recruit from this pool of donors was reviewed. Seventy-five month activity of an AA unit was analysed identifying patients who entered prehospital cardiac arrest (PHCA). Patients over 70 years of age were excluded as were those whose cardiac arrest was unwitnessed. A minimum potential donor pool was estimated based upon patients dying of medical causes. Rates of bystander resuscitation, mechanism of death and patient demographic data were observed. During 10,022 missions 534 patients entered PHCA. A total of 106 patients met inclusion criteria. There were 12 paediatric cases; 39 cases of 17-50 year olds and 55 cases of 50-70 year olds. Medical and traumatic causes of death accounted for 60 and 46 cases respectively. Bystander resuscitation efforts were provided in 47% of cases. A regional AA could contribute to a national uncontrolled DCD programme. Given that there are 31 AA's in England and Wales, we estimate that there could be a minimum of 300 additional potential donors annually.
心脏死亡后不受控制的捐献（DCD）可以增加英国的供体库。空中救护（AA）团队可能非常适合招募这些供体。他们覆盖了大片的地理区域，转移时间短，主要任务是处理危及生命的病例。因此，对从这些供体池中招募的可能性进行了审查。分析了一个 AA 单位 75 个月的活动，确定了进入院前心脏骤停（PHCA）的患者。排除了 70 岁以上的患者以及那些心脏骤停没有目击者的患者。根据死于医疗原因的患者，估计了一个潜在的最小供体库。观察了旁观者复苏的比例、死亡机制和患者人口统计学数据。在 10022 次任务中，有 534 名患者进入 PHCA。共有 106 名患者符合纳入标准。其中有 12 例儿科病例；39 例年龄在 17-50 岁之间，55 例年龄在 50-70 岁之间。医疗和创伤性死亡原因分别占 60%和 46%。47%的病例提供了旁观者复苏。一个地区性的 AA 可以为国家不受控制的 DCD 计划做出贡献。考虑到英格兰和威尔士有 31 个 AA，我们估计每年可能至少有 300 名额外的潜在供体。
