Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI:10.20408/jti.2024.0068
Myung Jin Jang, Sang Tae Choi, Gil Jae Lee, Doo Jin Kim, Won Suk Lee
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摘要

目的:器官移植被认为是终末期器官疾病的最终治疗方法。然而,与等待器官移植的患者人数相比,捐赠器官的稀缺是一个主要障碍。本研究旨在评估地区创伤中心对器官获取的影响,并为地区创伤中心和器官移植中心未来的合作提供依据:这项回顾性研究分析了从 2003 年 1 月 1 日到 2022 年 12 月 31 日这 20 年间脑死亡后的器官捐献者。研究比较了区域创伤中心成立之前和之后的患者,以及创伤和非创伤患者。研究调查了患者的一般特征以及捐赠器官的数量和类型:结果:患者的平均年龄从创伤中心成立前的 37.75 岁大幅上升至成立后的 46.72 岁(t=-4.32,PC 结论:该研究发现了患者特征和捐赠器官类型的变化:本研究发现了地区创伤中心成立后被诊断为脑死亡的患者的特征和捐赠器官的变化。鉴于成立后创伤患者比例和人均器官获取率的增加,应通过区域创伤中心和器官移植中心之间的密切合作,努力鼓励确诊为脑死亡的患者捐献器官。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Changes in the clinical features and demographics of donors after brain death, before and after the establishment of a regional trauma center: 20 years of experience at a single center in Korea.

Purpose: Organ transplantation is considered the definitive treatment for end-stage organ disease. However, the scarcity of donor organs compared to the number of patients awaiting transplants is a major barrier. This study aimed to assess the impact of a regional trauma center on organ procurement and to provide a basis for future collaboration between regional trauma centers and transplant centers.

Methods: This retrospective study analyzed organ donors after brain death over a 20-year period from January 1, 2003, to December 31, 2022. It compared patients before and after the establishment of the regional trauma center, as well as trauma and nontrauma patients. The study investigated general patient characteristics and the number and types of donated organs.

Results: The average age of patients significantly increased from 37.75 years before the trauma center was established to 46.72 years after (t=-4.32, P<0.001). The organ acquisition rate significantly increased from 3.03 before to 3.47 after (t=-2.96, P=0.003). Suicide (t=6.52, P=0.011) and cardiopulmonary resuscitation cases were more common among nontrauma patients than among trauma patients (t=8.34, P=0.004). However, the organ acquisition rate was significantly higher among trauma patients than among nontrauma patients (3.53 vs. 3.21; t=2.04, P=0.004).

Conclusions: This study identified changes in the characteristics and donor organs of patients diagnosed with brain death after the establishment of a regional trauma center. Given the increase in the proportion of trauma patients and the rate of organ acquisition per capita post-establishment, efforts should be made to encourage organ donation from patients diagnosed with brain death through close collaboration between regional trauma centers and organ transplant centers.

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