Donor management using a specialized donor care facility is associated with higher organ utilization from drug overdose donors

被引：9

作者：

Frye, Christian Corbin ^{[1
]}

Gauthier, Jason M. ^{[1
]}

Bery, Amit ^{[2
]}

Gerull, William D. ^{[1
]}

Morkan, Deniz B. ^{[1
]}

Liu, Jingxia ^{[3
]}

Shea Harrison, M. ^{[1
]}

Terada, Yuriko ^{[1
]}

Van Zanden, Judith E. ^{[1
]}

Marklin, Gary F. ^{[4
]}

Pasque, Michael K. ^{[1
]}

Nava, Ruben G. ^{[1
]}

Meyers, Bryan F. ^{[1
]}

Patterson, Alexander G. ^{[1
]}

Kozower, Benjamin D. ^{[1
]}

Hachem, Ramsey ^{[3
]}

Byers, Derek ^{[3
]}

Witt, Chad ^{[3
]}

Kulkarni, Hrishikesh ^{[3
]}

Kreisel, Daniel ^{[1
,5
]}

Puri, Varun ^{[1
]}

机构：

[1] Washington Univ, Sch Med, Dept Surg, Div Cardiothorac Surg, St Louis, MO 63110 USA

[2] Washington Univ, Sch Med, Dept Med, Div Pulm & Crit Care Med, St Louis, MO 63110 USA

[3] Washington Univ, Sch Med, Dept Surg, Div Publ Hlth Sci, St Louis, MO 63110 USA

[4] Washington Univ, Sch Med, Midamer Transplant, St Louis, MO USA

[5] Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO USA

来源：

CLINICAL TRANSPLANTATION | 2021年 / 35卷 / 03期

基金：

美国国家卫生研究院;

关键词：

donors and donation; organ allocation; Scientific Registry for Transplant Recipients; RISK DONORS; LIVER-TRANSPLANTATION; UNITED-STATES; INFECTION; OUTCOMES; DEATHS;

D O I：

10.1111/ctr.14178

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Drug overdoses have tripled in the United States over the last two decades. With the increasing demand for donor organs, one potential consequence of the opioid epidemic may be an increase in suitable donor organs. Unfortunately, organs from donors dying of drug overdose have poorer utilization rates than other groups of brain-dead donors, largely due to physician and recipient concerns about viral disease transmission. During the study period of 2011 to 2016, drug overdose donors (DODs) account for an increasingly greater proportion of the national donor pool. We show that a novel model of donor care, known as specialized donor care facility (SDCF), is associated with an increase in organ utilization from DODs compared to the conventional model of hospital-based donor care. This is likely related to the close relationship of the SDCF with the transplant centers, leading to improved communication and highly efficient donor care.

引用

页数：11

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