Deutsche Stiftung Organtransplantation, Stuttgart, Germany.
Clin Transplant. 2013 Jul-Aug;27 Suppl 25:1-5. doi: 10.1111/ctr.12157.
In the German state of Baden-Wurttemberg, the number of deceased donors from whom organs have been recovered has been decreasing over the past several years. We questioned whether changing donor age and/or cause of death (COD) were contributing to this trend.
All potential donors who reported to our regional Baden-Württemberg organ procurement organization were reviewed (2006-2010, n = 1771). Changes in age distribution and COD were analyzed, factors we thought might have affected the conversion from potential to successful organ donation.
Between 2006 and 2010, the annual number of reported cases with subarachnoid hemorrhage (SAH) as the COD decreased from 117 to 65, while the number of deaths from other reasons increased from 264 to 294. Conversion rates were higher in the SAH group (56%) compared with the other reasons group (37%).
Mortality rates are changing in certain devastating brain injuries. This, and other factors, may contribute adversely to organ donation rates.
在德国巴登-符腾堡州，近年来，器官捐献者的死亡人数一直在减少。我们质疑是否是捐献者年龄和/或死因的变化导致了这一趋势。
我们对向本地区巴登-符腾堡器官获取组织报告的所有潜在捐献者进行了审查（2006-2010 年，n=1771）。分析了年龄分布和死因的变化，这些是我们认为可能影响潜在捐献者成功捐献器官的因素。
2006 年至 2010 年期间，蛛网膜下腔出血（SAH）作为死因的报告病例数量从 117 例降至 65 例，而其他原因导致的死亡人数从 264 例增至 294 例。SAH 组的转化率（56%）高于其他原因组（37%）。
某些毁灭性脑损伤的死亡率正在发生变化。这一点，以及其他因素，可能对器官捐献率产生不利影响。
