2 Of the 4351 Canadians waiting for a transplant in 2018, 223 died, and 420 were removed from the waitlist due to worsened health conditions. 1 Although transplantation has become the definitive treatment for patients suffering from end-stage organ failure, demand still exceeds the supply. Organ transplantation saves lives and improves the quality of life. Keywords: tissue and organ procurement, out-of-hospital cardiac arrest, donor selection, death, uncontrolled donation after circulatory death Among the 46 patients who died after a return of spontaneous circulation, 10 (21.7%) were eligible for organ donation after circulatory death.Ĭonclusion: Implementing an uDCD program in a tertiary hospital covering a rural area could increase the number of donors. Twelve had an out-of-hospital cardiac arrest with a mean time between collapse and arrival to the ED of 43.2 (29.8 to 56.6) minutes. We identified 15 potential uDCD candidates, with a mean age of 46.6 (95% Confidence Interval 41.3 to 52) years. Results: Of the 130 patients included, 84 did not return to spontaneous circulation. As a secondary outcome, we determined the number of patients eligible for controlled donation after circulatory death. The primary outcome was the number of patients eligible for uDCD defined as aged between 18 and 60 years old whose collapse was witnessed and where the time between cardiac arrest to cardiopulmonary resuscitation and ED arrival was, respectively, less than 30 and 120 minutes. Methods: We conducted a retrospective cohort study in a Canadian tertiary academic center located in a rural area including all adults who received cardiopulmonary resuscitation in 2016 and died in the emergency department (ED) or during their hospitalization.
We aimed to describe the number of patients eligible for an uDCD program in a regional tertiary care center. Program for uncontrolled donation after circulatory death (uDCD) implemented in Europe has resulted in a 10– 15% expansion of the donor pool. Purpose: Worldwide, the number of patients waiting for organ transplantation exceeds the number of organs available. Frederick D’Aragon, 1, 2 Olivier Lachance, 1 Vincent Lafleur, 1 Ivan Ortega-Deballon, 3, 4 Marie-Helene Masse, 5 Gabrielle Trepanier, 6 Daphnee Lamarche, 1 Marie-Claude Battista 5ġDepartment of Anesthesiology, Faculty of Medicine and Health Sciences Université de Sherbrooke, Sherbrooke, Quebec, Canada 2Centre de recherche du Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada 3Nursing Department, Faculty of Medicine and Health Sciences, Universidad de Alcalá, Madrid, Spain 4Helicopter & Nursing Care Unit, Emergency Medical Service SUMMA 112, Madrid, Spain 5Department of Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada 6Department of Family Medicine and Emergency, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, CanadaĬorrespondence: Frederick D’Aragon, 3001 12e Avenue N, Sherbrooke, PQ, J1H 5N4, Canada, Tel +1 819 821-8000 ext.
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