The organ donor crisis: The missed organ donor potential from the accident and emergency departments
The organ donor crisis: The missed organ donor potential from the accident and emergency departments
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DOI：
10.1016/j.transproceed.2008.03.059
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发表时间：
2008-05-01
影响因子：
0.9
通讯作者：
Tyler, M.
中科院分区：
文献类型：
--
作者：
Aubrey, P.;Arber, S.;Tyler, M.
用于移植目的的尸体供体器官严重短缺是一个全世界关注的问题。捐赠作移植用途的尸体器官数目与等候移植手术的病人数目之间的差距继续扩大。本文报道了在英国北泰晤士地区的10个事故和紧急（A&E）部门进行的死亡审计的结果。审计本身是由在A&E部门工作的同事的非正式轶事帐户证实的，他们建议有一个潜在的器官和组织捐赠者库没有实现。本文讨论了这些审计结果如何帮助塑造北泰晤士地区目前的A&E教育战略。其结果是，北泰晤士地区从A&E部门转诊的数量急剧增加，导致实体器官移植。虽然结果非常令人鼓舞，但该方案仍处于起步阶段，距离理想的100%转诊率还有很长的路要走。为了最大限度地增加潜在捐赠者的器官数量，移植界需要更加关注急症室的捐赠。
The critical shortage of cadaveric donor organs for transplant purposes is a worldwide concern. The disparity between the number of cadaveric organs donated for transplant purposes and those patients awaiting transplant operations continues to widen. This article reports on the findings of an audit of deaths undertaken in 10 accident and emergency (A&E) departments in North Thames region, UK. The audit itself was borne out of informal anecdotal accounts from colleagues working in the A&E department who suggested that there was a potential pool of organ and tissue donors that were not being realized. The article discusses how those audit findings helped shape the current A&E education strategy in the North Thames region. The result has been that the North Thames region has seen a dramatic increase in the number of referrals from the A&E departments, resulting in solid organ transplantation. Although the results are very encouraging, the program is still very much in its infancy and a long way from the desired 100% referral rate. In order to maximize the number of organs from the potential donor pool, the transplant community needs to focus more attention toward donation from the A&E departments.