title: [Eligibility to a Maastricht III - type organ donation according to the protocol proposed by the French organ procurement organization (Agence de la biomedicine) among patients in a medico surgical intensive care unit].
abstract: OBJECTIVE
  Because of graft shortages, an experimental programme of organ donation after Maastricht 3-type circulatory death (M3) has been proposed by the French organ procurement organization (Agence de la biomedicine: ABM). The aim of the study was to estimate how many potential patients were eligible for an M3-type organ donation, amongst deceased patients who have had life-support withdrawn.
  
  
  METHODS
  We conducted a retrospective study looking at the notes of deceased patients in a French general intensive care unit (ICU), where organ donation is arranged in DBD donors.
  
  
  RESULTS
  Over the year 2013, 1475 patients were admitted in ICU and 215 died. One hundred and one patients were brain-injured and 26 of them died following a decision to withdrawn life-support and without contraindication to organ donation. Among them, 2 patients (8%) met the criteria for the French M3-type organ donation protocol. A 12.5% increase in organ donation activity of our team and five organ transplantations could have been considered.
  
  
  CONCLUSIONS
  If M3 organ donation is considered, a significant increase in transplantation would be expected.
authors.affiliation: Coordination des dons d'organes et de tissus, centre hospitalier Sud-Francilien, 91100 Corbeil-Essonnes, France. Electronic address: elsa.brocas@ch-sud-francilien.fr.
authors.forename: E
authors.initials: E
authors.lastname: Brocas
authors.affiliation: Coordination des dons d'organes et de tissus, centre hospitalier Sud-Francilien, 91100 Corbeil-Essonnes, France.
authors.forename: S
authors.initials: S
authors.lastname: Rolando
authors.affiliation: Service de régulation et d'appui Île-de-France, agence de la biomédecine, centre Antilles-Guyane, 1-3, rue Eugène-Varlin, 92240 Malakoff, France.
authors.forename: R
authors.initials: R
authors.lastname: Bronchard
authors.affiliation: Coordination des dons d'organes et de tissus, centre hospitalier Sud-Francilien, 91100 Corbeil-Essonnes, France.
authors.forename: F
authors.initials: F
authors.lastname: Fender
authors.affiliation: Coordination des dons d'organes et de tissus, centre hospitalier Sud-Francilien, 91100 Corbeil-Essonnes, France.
authors.forename: C
authors.initials: C
authors.lastname: Guérineau
authors.affiliation: Departments of Anaesthesia and Critical Care, Edinburgh Royal Infirmary, Edinburgh EH16 4SA, Royaume-Uni.
authors.forename: M
authors.initials: M
authors.lastname: Bruyère
mesh_terms: D000328:Adult; D000367:Age Factors; D002423:Cause of Death; D005062:European Union; D005260:Female; D005602:France; D015600:Glasgow Coma Scale; D006801:Humans; D007362:Intensive Care Units / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D008021:Life Support Systems; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D009927:Tissue and Organ Procurement / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D028761:Withholding Treatment
keywords: Arrêt circulatoire; Circulatory death; Don d’organes; Intensive care unit; Maastricht 3; Organ donation; Réanimation