RT Journal Article
T1 Uncontrolled donation programs after out-of-hospital cardiac arrest. An estimation of potential donors.
A1 Navalpotro-Pascual, Jose Maria
A1 Echarri-Sucunza, Alfredo
A1 Mateos-Rodríguez, Alonso
A1 Peinado-Vallejo, Francisco
A1 Del Valle, Patricia Fernández
A1 Alonso-Moreno, Daniel
A1 Del Pozo-Pérez, Carmen
A1 Mier-Ruiz, María V
A1 Ruiz-Azpiazu, Jose Ignacio
A1 Bravo-Castello, José
A1 Martinez-Cuellar, Natalia
A1 Sáez-Jiménez, Antonia
A1 López-Unanua, Carmen
A1 Antón-Ramas, Roberto
A1 Escriche-López, María Del Carmen
A1 Giraldo-Sebastià, Jose Manuel
A1 García-Ochoa, Mª José
A1 Martín-Sánchez, Enrique
A1 Borraz-Clares, Diego
A1 Del Valle, Marta Martínez
A1 Carriedo-Scher, Cristina
A1 Rosell-Ortiz, Fernando
K1 Emergency medical services
K1 Out-of-hospital cardiac arrest
K1 Physician on board
K1 Uncontrolled donation after cardiac death
AB To determine the number of potential deceased organ donors from out-of- hospital cardiac arrest cases (OHCA) attended by public physician-led emergency medical services in Spain, based on data recorded in the nationwide Spanish OHCA Registry (OHSCAR). We analysed OHSCAR data on deceased OHCA patients in Spain during 13 months (1/10/2013 to 31/10/2014). Variables included age, sex, estimated OHCA time, cardiopulmonary resuscitation (CPR) start time and outcome. Inclusion criteria were: age 16-60 years, witnessed OHCA, no return of spontaneous circulation (ROSC) and time interval  Of a total 8789 cases, 3290 met the age criteria; of these, CPR was not witnessed in 745 cases. Among the remaining 2545 patients, 141 were included in uncontrolled donation after cardiac death (uDCD) programs, 902 arrived at the hospital with ROSC, 64 arrived with ongoing CPR and 15 cases were lost to follow-up. Of the remaining 1423 without ROSC, CPR initiation time was not recorded in 454 cases and 398 did not meet the time criteria  Many potential donors are missed in current clinical practice. uDCD programs are few and underused even in a country with high rates of organ transplantation.
YR 2017
FD 2017-11-26
LK https://hdl.handle.net/10668/27258
UL https://hdl.handle.net/10668/27258
LA en
DS RISalud
RD Apr 7, 2025