Schenk Austin D, Washburn William K, Adams Andrew B, Lynch Raymond J
The Ohio State University Comprehensive Transplant Center, Columbus, OH.
Emory University Transplant Center, Atlanta, GA.
Transplant Direct. 2019 Sep 27;5(10):e494. doi: 10.1097/TXD.0000000000000942. eCollection 2019 Oct.
In 2018, 81% of the 36, 529 solid organs transplanted in the United States came from deceased donors. These organs were recovered through widespread use of aeromedical and emergency ground transportation systems. Urgently scheduled travel to remote hospitals at night and in varied weather conditions carries risk for the transplant professionals involved. A landmark survey conducted in 2007 demonstrated that 80% of respondents had experienced a "near-miss" event while on a procurement trip, and 15% had been involved in at least 1 accident. One decade later, we sought to revisit the issue of procurement related travel safety.
A 32 question survey designed to interrogate travel practice, accident frequency, and perceptions of safety was sent to the American Society of Transplant Surgeons membership.
Our survey response rate was 20.6%. At least 1 travel accident with bodily injury was reported by 23% of respondents and yet only 7% of respondents reported feeling "unsafe" or "very unsafe" during procurement travel. Sixteen percent of respondents participated in a procurement at a dedicated organ procurement facility, and only 53% of procurement surgeons completed at least 1 deceased donor procurement at their own hospital facility within the preceding 12 months.
In a field where increasingly aggressive organ utilization is the norm, the efficiency and safety of procurement travel merits ongoing consideration. Addressing these concerns takes on new significance as organ allocation policies change geographic distribution to expand the extent of travel required for surgical teams.
2018年，在美国移植的36529个实体器官中，81%来自已故捐赠者。这些器官是通过广泛使用航空医疗和地面紧急运输系统获取的。夜间以及在各种天气条件下紧急安排前往偏远医院的行程，给参与其中的移植专业人员带来了风险。2007年进行的一项具有里程碑意义的调查显示，80%的受访者在器官获取行程中经历过“险些发生事故”的事件，15%的人至少遭遇过1起事故。十年后，我们试图重新审视与器官获取相关的旅行安全问题。
向美国移植外科医生协会会员发送了一份包含32个问题的调查问卷，旨在询问旅行实践、事故频率和安全认知情况。
我们的调查回复率为20.6%。23%的受访者报告至少发生过1起导致身体受伤的旅行事故，但只有7%的受访者表示在器官获取旅行期间感到“不安全”或“非常不安全”。16%的受访者在专门的器官获取机构参与过器官获取工作，在过去12个月里，只有53%的器官获取外科医生在自己医院的设施中完成了至少1例已故捐赠者的器官获取工作。
在一个越来越积极利用器官成为常态的领域，器官获取旅行的效率和安全性值得持续关注。随着器官分配政策改变地理分布以扩大手术团队所需的旅行范围，解决这些问题具有了新的意义。
