作者: J.C. Jeong , M.G. Kim , H. Ro , Y.J. Kim , H.C. Park
DOI: 10.1016/J.TRANSPROCEED.2012.01.102
关键词: Risk factor 、 Acute kidney injury 、 Cardiopulmonary resuscitation 、 Internal medicine 、 Bacteremia 、 Kidney 、 Medicine 、 Odds ratio 、 Diabetes insipidus 、 Confidence interval
摘要: Abstract Backgrounds Potential deceased donor management optimization is important for organ recovery maximization. Before optimization, the current state of and predictors require analysis. Methods We retrospectively analyzed procurement activity medical 2005 to 2010 potential brain death donors at Seoul National University Hospital. Results Of 316 contacts brain-dead donors, 129 (39.7%) patients were transferred team. Among causes transfer failure, issues related proper affected 33%. Expanded criteria 17.9% donors. Organ was successful in 111 (90.2%) A total 360 organs recovered, corresponding a mean 2.92 ± 1.37 per donor. The absence demand an cause failure among less transplanted organs. Brain death-related complications identified as follows: acute kidney injury (AKI), defined by AKI network criteria, occurred 19 (15.4%); cardiopulmonary resuscitation 5 (3.1%); bacteremia 12 (9.7%); thrombocytopenia 24 (19.5%); diabetes insipidus 42 (34.1%). significant independent risk factor both liver (odds ratio [OR] 0.147, 95% confidence interval [0.045, 0.473], P = .001; OR 0.096, [0.023, 0.392], .001, liver, respectively). Conclusions Both success rate remained low Korea. during failure.