• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Resuscitation. >Uncontrolled donation programs after out-of-hospital cardiac arrest. An estimation of potential donors
【24h】

Uncontrolled donation programs after out-of-hospital cardiac arrest. An estimation of potential donors

机译：在医院外心脏骤停后的不受控制的捐赠计划。 估计潜在的捐助者

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Abstract Objective To determine the number of potential deceased organ donors from out-of- hospital cardiac arrest cases (OHCA) attended by public physician-led emergency medical services in Spain, based on data recorded in the nationwide Spanish OHCA Registry (OHSCAR). Material and methods We analysed OHSCAR data on deceased OHCA patients in Spain during 13 months (1/10/2013 to 31/10/2014). Variables included age, sex, estimated OHCA time, cardiopulmonary resuscitation (CPR) start time and outcome. Inclusion criteria were: age 16–60 years, witnessed OHCA, no return of spontaneous circulation (ROSC) and time interval Results Of a total 8789 cases, 3290 met the age criteria; of these, CPR was not witnessed in 745 cases. Among the remaining 2545 patients, 141 were included in uncontrolled donation after cardiac death (uDCD) programs, 902 arrived at the hospital with ROSC, 64 arrived with ongoing CPR and 15 cases were lost to follow-up. Of the remaining 1423 without ROSC, CPR initiation time was not recorded in 454 cases and 398 did not meet the time criteria Finally, 571 met all the criteria and could have been potential donors. There were significant differences in the actual donors percentage from potential donors percentage between provinces with and without donor programs (141/322=43.8% versus 0/390=0%), but there were no differences in ROSC between the two types of provinces (418/1320=31.7% versus 652/1970=33.4%). Conclusions Many potential donors are missed in current clinical practice. uDCD programs are few and underused even in a country with high rates of organ transplantation.
机译：摘要目的根据全国西班牙语OHCA登记处（OHSCAR）中记录的数据，确定来自西班牙公共医师主导的紧急医疗服务所出席的医院内逮捕案件（OHCA）的潜在死者逮捕案件数量（OHCA）。在13个月（1/10/2013至31/10/2014）中，我们分析了对西班牙死者患者的obscar数据的材料和方法。变量包括年龄，性别，估计OHCA时间，心肺复苏（CPR）开始时间和结果。纳入标准是：年龄16-60岁，目睹OHCA，没有自发循环返回（ROSC）和时间间隔结果总计8789例，3290次达到年龄标准;其中，在745例病例中，CPR未见证。在剩余的2545名患者中，141名被纳入不受控制的捐赠后，心脏死亡（UDCD）方案，902次抵达罗斯医院，64岁抵达CPR，后续行动损失了15例。在没有ROSC的剩余1423中，CPR开始时间未记录在454例中，398个未达到最后的时间标准，571符合所有标准，可能是潜在的捐助者。实际供体百分比的差异有显着差异，潜在的供体百分比，省份之间的省份（141/322 = 43.8％与0/390 = 0％），但两种类型的省份之间没有差异（ 418/1320 = 31.7％与652/1970 = 33.4％）。结论目前的临床实践中错过了许多潜在的捐助者。 UDCD计划即使在一个具有高机器移植率高的国家也少且未被使用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号