Abstract 11974: Impact of Routine ECPR Service on Availability of Donor Organs
Rattachement africain : cz, es. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Introduction: In refractory cardiac arrest, extracorporeal cardiopulmonary resuscitation (ECPR) may increase the chance of survival. However, in brain death or donation after cardiac death scenario, ECPR may also become an important organ donor source. Hypothesis: We hypothesized that 1/ the implementation of ECPR into the daily routine of a high volume cardiac arrest centre might increase the availability of organ donors, and 2/ ECPR might assure the same long-term function of donated organs as non-ECPR care. Methods: We retrospectively evaluated pre-ECPR (2007-2011) and ECPR (2012-2020) periods in terms of donors recruited from the out-of-hospital and in-hospital cardiac arrest population. We assessed the number of donors referred, the number of organs harvested and their one- and five-year survival. Results: In the pre-ECPR period, 11 donors were referred, of which 7 were accepted. During the ECPR period, the number of donors increased to 80, of which 42 were accepted. The number of donated organs in respective periods were 18 and 119, corresponding to 3,6 vs 13,2 (p =0.033) organs per year harvested. One-year survival of transplanted organs was 94.4% vs 100%, and five-year survival was 94.4% vs 87,5%, in relevant periods. Survival of organs obtained from donors after CPR and ECPR at one year (98.9% vs 100%) and five years (90,2% vs 88.9%) was the same. Graft failure was not the cause of death in any single case. Conclusions: Establishing a high volume cardiac arrest/ECPR centre may lead to a higher number of potential and subsequently accepted organ donors. The length of survival of donated organs is high and comparable between ECPR vs non-ECPR cardiac arrest donors.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Abstract 11974: Impact of Routine ECPR Service on Availability of Donor Organs
- Date Crossref
- 16/11/2021
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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General University Hospital in Prague pays non établi dans la noticeOrganisme public
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Universidad de Alcalá pays non établi dans la noticeUniversité ou école supérieure
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Institute of Clinical and Experimental Medicine pays non établi dans la noticeÉtablissement de santé
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Central Bohemia Region pays non établi dans la noticeOrganisme public
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General Univ Hosp pays non établi dans la noticeUniversité ou école supérieure
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Institute for Clinical and Experimental Medicine pays non établi dans la noticeStructure de recherche
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Emergency Med Service Prague pays non établi dans la noticeInstitution
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Robotics and Cybernetics (CIIRC) pays non établi dans la noticeInstitution
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Michal Huptych 4Czech Institute of Informatics pays non établi dans la noticeStructure de recherche
General University Hospital in Prague, Universidad de Alcalá et Institute of Clinical and Experimental Medicine, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.