title: Organ and tissue donation for transplantation from fatal trauma victims.
abstract: BACKGROUND
  The aim of this study was to analyze multiple aspects of organ donation after mortality owing to trauma-related causes.
  
  
  METHODS
  We completed a cross-sectional, retrospective, descriptive study that used data were extracted from monthly death reports and clinical records of fatal external injury victims 2-70 years of age who were assisted at 1 of 4 hospitals in the municipality of Maringá and the surrounding metropolitan area in Paraná state, Brazil, in 2012.
  
  
  RESULTS
  A total of 871 individuals within the age range for donation died, 15.4% owing to external causes of injury. Of these 134 cases, 80.6% were male and 52.23% were 18-40 years old. A total of 57% of deaths were owing to traffic accidents, 58% of which involved motorcycles. Aggression was a factor in 25% of deaths, with 55% owing to firearm wounds. Approximately 52% of families consented to organ donation when asked. A total of 58% of families who refused consent did not indicate a specific reason. At 62%, the majority of refusals involved brain-dead patients. Approximately 58% of the families did not receive a request for consent. Out of these 78 cases, 83% showed contraindications, 44% had sepsis, 40% hemodilution, and 10% logistical/infrastructural problems.
  
  
  CONCLUSIONS
  The highest proportion of non donor cases was owing to the lack of a formal request for consent from the family. Thus, continued training for health care professionals on the donation-transplantation process and early identification of potential donors and appropriate organ maintenance is necessary.
authors.affiliation: Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil. Electronic address: rosane3.2@hotmail.com.
authors.forename: R A
authors.initials: RA
authors.lastname: de Freitas
authors.affiliation: Postgraduate Program in Nursing, State University of Maringá, Maringá, Paraná, Brazil.
authors.forename: C M
authors.initials: CM
authors.lastname: Dell'Agnolo
authors.affiliation: Master in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil.
authors.forename: E F
authors.initials: EF
authors.lastname: Alves
authors.affiliation: Maringá Hospital University, Maringá, Paraná, Brazil.
authors.forename: E A
authors.initials: EA
authors.lastname: Benguella
authors.affiliation: Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil.
authors.forename: S M
authors.initials: SM
authors.lastname: Pelloso
authors.affiliation: Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil.
authors.forename: M D B
authors.initials: MD
authors.lastname: Carvalho
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D001938:Brazil; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014019:Tissue Donors / Q000331:legislation & jurisprudence*; D009927:Tissue and Organ Procurement / Q000458:organization & administration*; D055815:Young Adult