Cardiac arrest & resuscitation
Potential kidney donors among patients with out-of-hospital cardiac arrest and a termination of resuscitation rule
Authors' conclusion
Implementing uDCD program including SCD and ECD for kidney transplantation among OHCA cases quickly identified by the TOR, holds significant potential to substantially broaden the pool of organ donors.
Study context
- Population
- Adults with unexpected of Hospital Cardiac Arrest (OHCA) enrolled in the Parisian registry, May 16th, 2011, to December 31st, 2020resuscitation attempted
- Participants
- 19,976 adults
- Outcome
- Theoretical size and characteristics of the potential pool of uDCD kidney donors with standard (SCD) and extended criteria (ECD) among patients meeting TOR criteria after OHCA
Methodological detailsParisian registry
- Parisian registry
Main finding
As reported in the abstract
Potential uDCD kidney donors
- No return of spontaneous circulation
- 64.5% (12,890)
- Termination of Resuscitation (TOR) criteria met
- 47.4% (9,461)
- Met standard criteria donation (SCD) criteria (potential organ donors)
- 8.8% (1,764)
- Met extended criteria donation (ECD) for kidney donors
- 33.6% (6,720)
- Mean potential uDCD candidates per year, SCD
- 98 (±10.8)
- Mean potential uDCD candidates per year, ECD
- 672 (±103.8)
Observational data: associations, not effects.
Further findings
Elderly patients (≥65 y.o.)
- Share of patients meeting TOR
- 61.2% (n = 5,763/9,461)
- Share of patients matching both ECD and TOR
- 100% (5763/5763)
Original publication
Potential kidney donors among patients with out-of-hospital cardiac arrest and a termination of resuscitation rule. Resuscitation. Published 14 July 2024. doi:10.
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