Thompson J F, McCosker C J, Hibberd A D, Chapman J R, Compton J S, Mahony J F, Mohacsi P J, MacDonald G J, Spratt P M
Royal Prince Alfred Hospital, Camperdown, N.S.W., Australia.
Anaesth Intensive Care. 1995 Feb;23(1):75-80. doi: 10.1177/0310057X9502300114.
Most Australian transplantation programs are severely restricted in their activities by a limited availability of cadaveric donor organs. To investigate possible reasons for this problem, an audit was undertaken over three 12-month periods of all deaths in 13 hospitals in New South Wales and the Australian Capital Territory. From 7406 deaths, 271 patients were classified as having been realistic, medically suitable potential donors. Of these, only 60 (22%) became actual donors. In the other 211 patients, donation did not occur because of unsuccessful resuscitation (30%), permission refusal by relatives (34%), and failure to identify or support the potential donors (36%). If the impediments to organ donation which were identified in this study could be overcome, allowing a greater number of potential donors to become actual donors, the chronic shortage of cadaveric donor organs for transplantation could be at least partly relieved.
大多数澳大利亚移植项目的活动因尸体供体器官供应有限而受到严重限制。为调查这一问题的可能原因，在新南威尔士州和澳大利亚首都地区的13家医院对三个为期12个月的时间段内的所有死亡病例进行了审计。在7406例死亡病例中，271例患者被归类为现实的、医学上合适的潜在供体。其中，只有60例（22%）成为了实际供体。在另外211例患者中，捐赠未发生的原因是复苏失败（30%）、亲属拒绝许可（34%）以及未能识别或支持潜在供体（36%）。如果本研究中确定的器官捐赠障碍能够被克服，使更多潜在供体成为实际供体，那么移植用尸体供体器官的长期短缺至少可以得到部分缓解。
