Hospital-independent organ recovery from deceased donors: a two-year experience.
Early experience with deceased donor (DD) organ recovery outside of the hospital setting was found to be safe, efficient and cost effective. A 2-year experience under current practice protocols implemented to further process improvements is now reviewed. From December 1, 2001 to December 31, 2003, 123 criteria eligible DDs were transferred from local and regional hospitals to the Mid-America Transplant Services (MTS) facility for organ and tissue recovery. In this retrospective analysis, outcome comparisons were made with 79 conventional hospital-based recoveries. Compared to hospital recoveries, MTS facility recoveries were associated with significantly reduced critical care unit time (819 vs. 502 min), time to cross-clamp following brain death (966 vs. 731 min), operating room delay (54 vs. 9 min) and a trend toward reduced organ cold ischemia times which reached significance for heart and lungs when compared to regional hospital recoveries (147 vs. 221 and 192 vs. 327 min). MTS facility recovery afforded substantial cost savings over local and regional hospital recoveries (US 6,690 dollars and US 5,452 dollars per donor, respectively). The current practice of DD recovery at the MTS facility was applicable for most recoveries, improved process efficiency, and afforded substantial cost savings without donor compromise.
Jendrisak
Martin D
MD
Deptment of Surgery, Washington University School of Medicine, St. Louis, MO, USA. jendrisakm@msnotes.wustl.edu
Hruska
Keith
K
Wagner
Jessica
J
Chandler
Dianne
D
Kappel
Dean
D
D000293:Adolescent; D000328:Adult; D000368:Aged; D002102:Cadaver; D003365:Costs and Cost Analysis; D005260:Female; D006268:Health Facilities; D006761:Hospitals; D006801:Humans; D007511:Ischemia; D008297:Male; D008875:Middle Aged; D009926:Organ Preservation / Q000379:methods; D016377:Organ Transplantation / Q000191:economics / Q000379:methods* / Q000592:standards*; D012189:Retrospective Studies; D013997:Time Factors; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting; D009927:Tissue and Organ Procurement; D016896:Treatment Outcome