The impact of intoxication on the number of organs available for transplantation after brain death.
A significant number of head-injured trauma patients are likely to present with a positive toxicology. The purpose of this study is to investigate whether intoxication with substances such as cocaine, amphetamine, alcohol, and opiates on admission has any influence on the number of organs that are recovered after brain death in these patients. We conducted a retrospective review of all organ donor patients admitted to a Level I trauma center over a 4-year period (2002 to 2005). Patients with positive toxicology screens on admission were compared to counterparts with negative screens with regard to the number of organs harvested. There were 90 organ donor patients during the 4-year period. There were 63 (70%) patients to negative toxicology screens. The remaining 27 (30%) were found to be intoxicated with a variety of substances, including alcohol (18%), cocaine (4%), amphetamines (9%), benzodiazepines (4%), opiates (4%), and polysubstances (10%). A comparison of total organs and individual organs donated by both intoxicated and nonintoxicated patients showed no overall statistical difference in the number or type of organs donated between the two groups. Thus, the prospect of organ procurement should not be overlooked in intoxicated patients.
Hadjizacharia
Pantelis
P
Division of Trauma, Los Angeles County, University of Southern California Medical Center, Los Angeles, California, USA.
Salim
Ali
A
Dubose
Joseph
J
Mascarenhas
Angela
A
Margulies
Daniel R
DR
D000328:Adult; D001926:Brain Death; D001930:Brain Injuries / Q000401:mortality*; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D015141:Los Angeles / Q000453:epidemiology; D008297:Male; D016377:Organ Transplantation; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D015813:Substance Abuse Detection; D019966:Substance-Related Disorders / Q000150:complications*; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000379:methods*