Organ donation after traumatic cardiopulmonary arrest

Mustafa Raoof, Bellal A Joseph, Randall S Friese, Narong Kulvatunyou, Terence S Okeeffe, Andrew - Tang, Julie Wynne, Rifat - Latifi, Peter M Rhee

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: The gap between demand of transplantable organs and their supply continues to widen. Trauma patients constitute a significant proportion of organ donors. The incidence of organ donation after traumatic cardiopulmonary arrest (TCPA), however, is not clear. The goals of this study were to determine the success rate of organ donation in patients undergoing cardiopulmonary resuscitation (CPR) after trauma and to determine if there are variables that may predict successful organ donation. Methods: All trauma patients who sustained TCPA from April 2007 to March 2010 were reviewed. We identified all patients who required CPR in the field or the trauma center. Patients were classified as donors if the heart, lung, kidney, small bowel, pancreas, or liver was harvested. Primary outcome was organ donation after CPR. Results: A total of 252 patients required CPR for TCPA in the field or in the trauma center. There were 39 (15.5%) survivors and 213 (84.5%) fatalities. Only 19 of 213 (8.9%) patients who died after TCPA became organ donors. A total of 26 organs were harvested including 15 kidneys, 6 livers, 4 hearts, and 1 pancreas. Of those who failed to donate organs, 64.7% had a cardiac arrest after the donor network had been contacted but before their arrival. Conclusions: Survival rate after TCPA is low but organ donation is an important secondary outcome. Patients with predominant head injuries, without thoracic and minimal extremity injuries, should be identified as having a higher chance of going on to organ donation. The greatest barrier to organ donation in TCPA patients is cardiac arrest before donor network arrival.

Original languageEnglish (US)
Pages (from-to)701-706
Number of pages6
JournalAmerican Journal of Surgery
Volume202
Issue number6
DOIs
StatePublished - Dec 2011

Fingerprint

Tissue and Organ Procurement
Heart Arrest
Cardiopulmonary Resuscitation
Tissue Donors
Trauma Centers
Wounds and Injuries
Pancreas
Kidney
Liver
Craniocerebral Trauma
Survivors
Thorax
Survival Rate
Extremities
Lung
Incidence

Keywords

  • Organ donation
  • Trauma
  • Traumatic cardiopulmonary arrest

ASJC Scopus subject areas

  • Surgery

Cite this

Organ donation after traumatic cardiopulmonary arrest. / Raoof, Mustafa; Joseph, Bellal A; Friese, Randall S; Kulvatunyou, Narong; Okeeffe, Terence S; Tang, Andrew -; Wynne, Julie; Latifi, Rifat -; Rhee, Peter M.

In: American Journal of Surgery, Vol. 202, No. 6, 12.2011, p. 701-706.

Research output: Contribution to journalArticle

@article{4b8825c3115f4f2c86724af3ffdb6340,
title = "Organ donation after traumatic cardiopulmonary arrest",
abstract = "Background: The gap between demand of transplantable organs and their supply continues to widen. Trauma patients constitute a significant proportion of organ donors. The incidence of organ donation after traumatic cardiopulmonary arrest (TCPA), however, is not clear. The goals of this study were to determine the success rate of organ donation in patients undergoing cardiopulmonary resuscitation (CPR) after trauma and to determine if there are variables that may predict successful organ donation. Methods: All trauma patients who sustained TCPA from April 2007 to March 2010 were reviewed. We identified all patients who required CPR in the field or the trauma center. Patients were classified as donors if the heart, lung, kidney, small bowel, pancreas, or liver was harvested. Primary outcome was organ donation after CPR. Results: A total of 252 patients required CPR for TCPA in the field or in the trauma center. There were 39 (15.5{\%}) survivors and 213 (84.5{\%}) fatalities. Only 19 of 213 (8.9{\%}) patients who died after TCPA became organ donors. A total of 26 organs were harvested including 15 kidneys, 6 livers, 4 hearts, and 1 pancreas. Of those who failed to donate organs, 64.7{\%} had a cardiac arrest after the donor network had been contacted but before their arrival. Conclusions: Survival rate after TCPA is low but organ donation is an important secondary outcome. Patients with predominant head injuries, without thoracic and minimal extremity injuries, should be identified as having a higher chance of going on to organ donation. The greatest barrier to organ donation in TCPA patients is cardiac arrest before donor network arrival.",
keywords = "Organ donation, Trauma, Traumatic cardiopulmonary arrest",
author = "Mustafa Raoof and Joseph, {Bellal A} and Friese, {Randall S} and Narong Kulvatunyou and Okeeffe, {Terence S} and Tang, {Andrew -} and Julie Wynne and Latifi, {Rifat -} and Rhee, {Peter M}",
year = "2011",
month = "12",
doi = "10.1016/j.amjsurg.2011.06.028",
language = "English (US)",
volume = "202",
pages = "701--706",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Organ donation after traumatic cardiopulmonary arrest

AU - Raoof, Mustafa

AU - Joseph, Bellal A

AU - Friese, Randall S

AU - Kulvatunyou, Narong

AU - Okeeffe, Terence S

AU - Tang, Andrew -

AU - Wynne, Julie

AU - Latifi, Rifat -

AU - Rhee, Peter M

PY - 2011/12

Y1 - 2011/12

N2 - Background: The gap between demand of transplantable organs and their supply continues to widen. Trauma patients constitute a significant proportion of organ donors. The incidence of organ donation after traumatic cardiopulmonary arrest (TCPA), however, is not clear. The goals of this study were to determine the success rate of organ donation in patients undergoing cardiopulmonary resuscitation (CPR) after trauma and to determine if there are variables that may predict successful organ donation. Methods: All trauma patients who sustained TCPA from April 2007 to March 2010 were reviewed. We identified all patients who required CPR in the field or the trauma center. Patients were classified as donors if the heart, lung, kidney, small bowel, pancreas, or liver was harvested. Primary outcome was organ donation after CPR. Results: A total of 252 patients required CPR for TCPA in the field or in the trauma center. There were 39 (15.5%) survivors and 213 (84.5%) fatalities. Only 19 of 213 (8.9%) patients who died after TCPA became organ donors. A total of 26 organs were harvested including 15 kidneys, 6 livers, 4 hearts, and 1 pancreas. Of those who failed to donate organs, 64.7% had a cardiac arrest after the donor network had been contacted but before their arrival. Conclusions: Survival rate after TCPA is low but organ donation is an important secondary outcome. Patients with predominant head injuries, without thoracic and minimal extremity injuries, should be identified as having a higher chance of going on to organ donation. The greatest barrier to organ donation in TCPA patients is cardiac arrest before donor network arrival.

AB - Background: The gap between demand of transplantable organs and their supply continues to widen. Trauma patients constitute a significant proportion of organ donors. The incidence of organ donation after traumatic cardiopulmonary arrest (TCPA), however, is not clear. The goals of this study were to determine the success rate of organ donation in patients undergoing cardiopulmonary resuscitation (CPR) after trauma and to determine if there are variables that may predict successful organ donation. Methods: All trauma patients who sustained TCPA from April 2007 to March 2010 were reviewed. We identified all patients who required CPR in the field or the trauma center. Patients were classified as donors if the heart, lung, kidney, small bowel, pancreas, or liver was harvested. Primary outcome was organ donation after CPR. Results: A total of 252 patients required CPR for TCPA in the field or in the trauma center. There were 39 (15.5%) survivors and 213 (84.5%) fatalities. Only 19 of 213 (8.9%) patients who died after TCPA became organ donors. A total of 26 organs were harvested including 15 kidneys, 6 livers, 4 hearts, and 1 pancreas. Of those who failed to donate organs, 64.7% had a cardiac arrest after the donor network had been contacted but before their arrival. Conclusions: Survival rate after TCPA is low but organ donation is an important secondary outcome. Patients with predominant head injuries, without thoracic and minimal extremity injuries, should be identified as having a higher chance of going on to organ donation. The greatest barrier to organ donation in TCPA patients is cardiac arrest before donor network arrival.

KW - Organ donation

KW - Trauma

KW - Traumatic cardiopulmonary arrest

UR - http://www.scopus.com/inward/record.url?scp=82655162029&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=82655162029&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2011.06.028

DO - 10.1016/j.amjsurg.2011.06.028

M3 - Article

C2 - 22000116

AN - SCOPUS:82655162029

VL - 202

SP - 701

EP - 706

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 6

ER -