Pediatric anesthesia & critical care

Practice Variation in Intraoperative Management of Pediatric Organ Donation After Brain Death: A Retrospective Observational Multicenter Perioperative Outcomes Group Study

Paediatr AnaesthPublished Retrospective observational cohort study

Main finding · Intraoperative practice variationResult — go to the resultOdds ratio 0.319 95% CI 0.116–0.745

Authors' conclusion

This study found substantial practice variation across MPOG centers grouped based on case volume frequency for organ recovery procedures in pediatric donation after brain death.

Study context

Population
Pediatric (age < 18 years) brain-dead organ donors undergoing organ recovery at 24 Multicenter Perioperative Outcomes Group (MPOG) centres in the US, 2014–2020
Participants
231 participants · 24 centres
Exposure
Higher-Volume vs Lower-Volume centres
Outcome
Practice patterns for intraoperative management during organ recovery
Methodological detailsmulticentre, no adjustment for multiple comparisons
  • Multicentre
  • No adjustment for multiple comparisons

Main finding

Intraoperative practice variation

Odds ratio

0.319

95% CI 0.116–0.745

P = 0.014

By group

Lower-Volume vs Higher-Volume
OR 0.319 (95% CI 0.116–0.745); P = 0.014

As reported in the abstract

Observational data: associations, not effects.

Original publication

Practice Variation in Intraoperative Management of Pediatric Organ Donation After Brain Death: A Retrospective Observational Multicenter Perioperative Outcomes Group Study. Paediatr Anaesth. Published 1 October 2025. doi:10.1111/pan.70064

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