[Organ Donation in Victims of Non-Traumatic Out-of-Hospital Cardiac Arrest].

DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT(2018)

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Abstract
Introduction The out-of-hospital cardiac-arrest (OHCA) is one of the leading causes of death. However, although previous studies showed the possibility to transplant organs from resuscitated donors, organ donation following OHCA remains seldom. We therefore initiated this study to investigate the current percentage of organ donation in victims of OHCA in a german university hospital. Material and Methods We analyzed data from all victims of OHCA who were admitted to our hospital between January 1st 2008 and May 31st 2017. Results Altogether, there were 385 victims of OHCA admitted to our hospital. 126 victims of OHCA (32.8 %) survived until hospital discharge, 259 died (67.2 %), hereunder 7 victims of OHCA (1.8 %) with proven brain death. 5 victims of OCHA (1.5 %) donated their organs, and altogether 14 organs could be transplanted successfully. Discussion Organ donation following OHCA is seldom. We therefore would appreciate a more frequent diagnostics of brain death as currently not even all victims of OHCA with proven signs of brain damage in the computed tomography receive further diagnostics to confirm the diagnosis of brain death.
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Key words
organ donation,out-of-hospital cardiac arrest,resuscitation,brain death,transplantation
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