Beydon L, Chergui K, Subayi L, de Vaumas C
Département d'anesthésie, CHRU d'Angers, France.
Ann Fr Anesth Reanim. 1998;17(4):340-3. doi: 10.1016/s0750-7658(98)80025-7.
In order to identify possible causes for the shortage in organ procurement today in France, a regional survey including 74 hospitals in the Paris area which are likely to receive brain dead patients (BDP) and in which there were neither harvesting nor transplantation activities was conducted. Of the 66 hospitals (89%) answering this survey, half of them were district general hospitals. In the 2 years before the survey, they received on average three BDP. Such a figure represents at least 10% of BDP seen in this area. For one half of the centres, care of these patients was difficult or impossible due to the available facilities. Organisational concerns were among the major problems raised by the transfer of these patients to harvesting centres. A preestablished geographical network would be of help for simplifying the transfer of these patients. Interestingly, about 50% of centres already had such links with a transplantation centre. This study provides information concerning logistics and possible points which could be improved in order to increase the number of BDP liable to be transferred to transplantation centres.
为了确定当前法国器官获取量短缺的可能原因，我们开展了一项区域调查，涵盖巴黎地区74家可能接收脑死亡患者（BDP）且此前既无获取器官活动也无移植活动的医院。在回复此次调查的66家医院（占89%）中，半数为区级综合医院。在调查前的两年里，它们平均接收3名脑死亡患者。这一数字至少占该地区脑死亡患者数量的10%。对于一半的中心而言，由于现有设施，对这些患者的护理困难或无法开展。将这些患者转至获取中心所引发的主要问题中包括组织方面的担忧。预先建立的地理网络将有助于简化这些患者的转运。有趣的是，约50%的中心已与移植中心建立了此类联系。本研究提供了有关后勤以及为增加可能转至移植中心的脑死亡患者数量而可改进的潜在要点的信息。
