BACKGROUND:The relationship between accessibility to the full range of subspecialty care available at freestanding pediatric hospitals and organ donor management and recovery rates has not been studied. OBJECTIVE:To examine current rates of recovery of organs from children for transplantation at free-standing pediatric hospitals versus all other hospitals. METHODS:Data from the hospitals served by Mid-America Transplant Services from January 2000 to July 2003 were reviewed. Organ recovery rates from freestanding children's hospitals were compared with the rates from other types of institutions. Patients were included if their organs were considered medically suitable at the time of referral for donation. RESULTS:Overall, 66% (210/318) of the potential organs were recovered. The type of institution in which the potential donor was managed did not influence the proportion of organs recovered: 67% (96/144) at freestanding children's hospitals versus 66% (114/174) at all other hospitals. A greater proportion of livers were recovered at other donor institutions than at children's hospitals (100% vs 85%, P< or =.01). CONCLUSION:The organ recovery rate from potential pediatric donors is low. In general, this rate does not appear to be affected by the type of managing pediatric institution except for liver recovery, which favors institutions that are not freestanding children's hospitals. The low rate of recovery suggests that although suitable donors are identified, appropriate referrals are made, and families provide consent for donation, major obstacles remain to the successful recovery of organs.

译文

背景:独立式儿科医院可获得的全面的专科护理的可及性与器官捐赠者的管理与康复率之间的关系尚未得到研究。
目的:研究在独立的儿科医院与所有其他医院中,儿童从器官移植的当前恢复率。
方法:回顾了2000年1月至2003年7月由中美洲移植服务中心服务的医院的数据。将独立儿童医院的器官恢复率与其他类型机构的器官恢复率进行了比较。如果在转诊时认为其器官在医学上合适,则将患者包括在内。
结果:总体上,回收了66%(210/318)的潜在器官。管理潜在捐赠者的机构类型不会影响器官恢复的比例:独立儿童医院为67%(96/144),而其他所有医院为66%(114/174)。与儿童医院相比,其他捐赠机构的肝脏回收率更高(100%比85%,P <或= .01)。
结论:潜在的小儿供体器官恢复率低。通常,该比率似乎不受受儿科机构管理的类型的影响,但肝脏恢复除外,这有利于非独立儿童医院的机构。较低的康复率表明,尽管确定了合适的捐献者,进行了适当的转介,并且家人同意捐献,但器官成功康复的主要障碍仍然存在。

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