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Impact of donor cause of death on transplant outcomes: UNOS registry analysis.
- Source :
-
Transplantation proceedings [Transplant Proc] 2009 Nov; Vol. 41 (9), pp. 3539-44. - Publication Year :
- 2009
-
Abstract
- Donor cause of death (DCOD) has been described to influence allograft survival. Whether this effect is independent of other donor characteristics and whether it is similar across different solid organ allografts is not known. The aim of our study was to determine the impact of DCOD on organ utilization and on transplantation outcomes-graft rejection, function, and survival. The registry data were provided by the United Network for Organ Sharing/Organ Procurement and Transplantation Network. Stroke, head trauma, and anoxia were the cause of brain death in 97% of the more than 86,000 donors whose data were recorded between 1989 and 2008. In univariate analysis, stroke DCOD was associated with worse graft survival across all organs. After adjustment in a multivariable analysis, modest differences persisted in survival of heart, kidney, and liver allografts. DCOD also appeared to affect the incidence of allograft rejection. Anoxia DCOD was associated with significantly less rejection relative to donor death caused by head trauma and stroke. In summary, this multi-institutional study confirms that DCOD is a modest predictor of survival and rejection of solid organ allografts of different types.
- Subjects :
- Central Nervous System Neoplasms mortality
Craniocerebral Trauma mortality
Female
Graft Rejection
Graft Survival
Heart Transplantation mortality
Humans
Hypoxia mortality
Kidney Transplantation mortality
Liver Transplantation mortality
Male
Multivariate Analysis
Postoperative Complications mortality
Registries
Stroke mortality
Tissue Donors statistics & numerical data
United States
Cause of Death
Transplantation mortality
Transplantation, Homologous mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1873-2623
- Volume :
- 41
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Transplantation proceedings
- Publication Type :
- Academic Journal
- Accession number :
- 19917340
- Full Text :
- https://doi.org/10.1016/j.transproceed.2009.06.192