Donation after cardiac death: A 29-year experience

摘要: Collaborative efforts in the transplant community as well mandates from governmental agencies to increase organ donation are attempting find solutions for disparity between availability of organs and need. Centers Medicare Medicaid Services, Joint Commission on Accreditation Healthcare Organizations (JCAHO), United Network Organ Sharing (UNOS) encouraged increasing after cardiac death (DCD).1 Despite these initiatives, number obtainable has declined recent years.2 Over a 5-year period (2003–2008), DCD donors tripled nationwide; moreover, growing portion total is death. The rate donors, which was 4% 2003 increased 11% by 2008.3 rates at University Wisconsin procurement organization have been consistent over this with comprising 17–30% donors. In addition, recently available data demonstrates that recovery 24% 2006 2007, compared decline 2% standard criteria (SCD).4 The contributed utilization additional younger augmented States past decade, although still not meeting need numbers waiting lists, may stabilization waitlist deaths.5 purpose large single center study long-term outcomes meant add supporting means enhance donor pool reveal clinical challenges created allografts.