[Feasibility of out-of-hospital management of non-heart-beating donors in Seine-Saint-Denis: one year retrospective study].
The use of non-heart-beating donors (NHBD) could help shorten the list of patients who are waiting for a kidney transplant. The aim of this study was to evaluate efficiency of prehospital management of non-heart-beating donors in Seine-Saint-Denis area. We performed a retrospective cohort study of non-heart-beating donor managed by prehospital medical team of Samu 93 from February 2007 to January 2008. There were 28 non-heart-beating donors included consecutively. Twenty-five NHBD (89%) were canuled by Gillot probe within 150 min from patient collapse. Fourteen NHBD were harvested and 17 kidneys were transplanted. Six-month survival rate for NHBD grafts was 94%. In the same time, eight brain dead donors were managed by Samu 93 and were harvested leading to transplant 16 kidneys. Finally, 50% of overall kidney transplant activity in Seine-Saint-Denis was provided by NHBD grafts.
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Samu 93, EA 3409, hôpital Avicenne, AP-HP, université Paris-13, 125 rue de Stalingrad, Bobigny, France. frederic.adnet@avc.aphp.fr
Dufau
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Roussin
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Antoine
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Fieux
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Lapostolle
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Chanzy
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Jacob
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D000328:Adult; D001926:Brain Death / Q000175:diagnosis; D016887:Cardiopulmonary Resuscitation; D002404:Catheterization / Q000379:methods*; D015331:Cohort Studies; D004632:Emergency Medical Services / Q000379:methods / Q000458:organization & administration*; D005240:Feasibility Studies; D005260:Female; D005602:France; D006085:Graft Survival; D006323:Heart Arrest; D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data; D008297:Male; D018447:Medical Futility; D008875:Middle Aged; D012079:Renal Circulation; D012189:Retrospective Studies; D014019:Tissue Donors / Q000600:supply & distribution; D020858:Tissue and Organ Harvesting / Q000379:methods*; D055815:Young Adult