Bursztyn Naama, Arad Tomer, Fink Tamar, Cohen Jonathan, Stein Michael
Department of General Surgery, Rabin Medical Center (Beilinson Campus), Petah Tikva, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Isr Med Assoc J. 2021 May;23(5):286-290.
Consent rates for organ donation remain one of the most important factors determining the number of organs available for transplantation. Trauma casualties constitute a substantial part of the deceased organ donor pool and have unique characteristics that distinguish them from the general donor population. However, this group has not been extensively studied.
To identify donor factors associated with positive familial consent for solid organ donation among trauma casualties.
This retrospective study included all trauma casualties who were admitted to the Rabin Medical Center, Beilinson hospital, during the period from January 2008 to December 2017, who were potential organ donors. Data collected included demographic features, the nature of the injury, surgical interventions, and which organs were donated. Data was collected from the Rabin Medical Center Trauma Registry.
During the study period 24,504 trauma patients were admitted and 556 died over their hospital course. Of these 76 were potential donors, of whom 32 became actual donors and donated their organs. Two factors showed a statistically significant correlation to donation, namely female gender (P = 0.018) and Jewish religion of the deceased (P = 0.032).
Only a small group of in hospital trauma deaths were potential solid organ donors (13.7%) and less than half of these became actual donors. Consent rates were higher when the deceased was female or Jewish.
器官捐赠的同意率仍然是决定可用于移植的器官数量的最重要因素之一。创伤伤亡者构成了已故器官捐赠者群体的很大一部分，并且具有使其有别于一般捐赠者群体的独特特征。然而，这一群体尚未得到广泛研究。
确定与创伤伤亡者中实体器官捐赠的积极家属同意相关的捐赠因素。
这项回顾性研究纳入了2008年1月至2017年12月期间入住拉宾医疗中心贝林森医院的所有创伤伤亡者，他们均为潜在器官捐赠者。收集的数据包括人口统计学特征、损伤性质、手术干预以及捐赠的器官。数据从拉宾医疗中心创伤登记处收集。
在研究期间，24504名创伤患者入院，其中556人在住院期间死亡。在这些人中，76人为潜在捐赠者，其中32人成为实际捐赠者并捐赠了他们的器官。有两个因素与捐赠存在统计学上的显著相关性，即女性性别（P = 0.018）和死者的犹太宗教信仰（P = 0.032）。
只有一小部分住院创伤死亡者是潜在的实体器官捐赠者（13.7%），其中不到一半成为实际捐赠者。当死者为女性或犹太教徒时，同意率较高。
