Presse Med. 1990 Feb 3;19(4):162-5.
In May and June 1988, the INSERM and the Section Centre Ile-de-France Transplant conducted a survey of the number of subjects in a state of cerebral death available in Ile-de-France, in order to determine the transplantation capacity of that region. The results obtained showed that there were 70 cerebral deaths per million inhabitants and per year in Ile-de-France. Organs were obtained from 28 subjects with cerebral death per million inhabitants and per year (39 per cent). The two significant factors which facilitated organ procurement were the donor's age (between 15 and 55 years) and the "centre effect", the latter term meaning that organ procurement and multiple organ harvesting were more frequent when the subjects had been admitted to one of the 6 organ procurement national hospitals centres. The law regulating organ procurements was not an obstacle. The 3 main causes of non-procurement were the application of questionable medical contra-indications, the reluctance to obtain organ from children and the inadequate organization of procurement and transplantation teams. It is were proposed that organs should be obtained from all subjects in a state of cerebral death, if contra-indications were discussed with procurement teams for each of these subjects and if the procurement teams were better organized, there would be a significant increase in the number of procurements and in the capacity for transplantation in Ile-de-France.
1988年5月和6月，法国国家卫生与医学研究院（INSERM）以及法兰西岛地区移植中心开展了一项调查，旨在确定法兰西岛地区脑死亡患者的数量，以评估该地区的移植能力。调查结果显示，法兰西岛地区每年每百万居民中有70例脑死亡病例。每年每百万居民中有28例（39%）脑死亡患者的器官被获取。促进器官获取的两个重要因素是供体年龄（15至55岁之间）和“中心效应”，后者指的是当患者被收治于6家全国性器官获取医院中心之一时，器官获取和多器官摘取更为频繁。规范器官获取的法律并非障碍。未进行器官获取的3个主要原因是应用了存在疑问的医学禁忌证、不愿从儿童获取器官以及获取和移植团队组织不力。有人提议，如果针对每例脑死亡患者与获取团队讨论禁忌证，并且更好地组织获取团队，那么法兰西岛地区的器官获取数量和移植能力将显著增加。
