ICU sedation, delirium & recovery

Racial Equity in Family Approach for Patients Medically Suitable for Deceased Organ Donation*

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

Findings indicate racial equity in OPO family approach rates among patients who were medically suitable for organ donation.

Study context

Population
Hospitalised patients on mechanical ventilation referred to Organ Procurement Organizations (OPOs) as potential donors, 10 US OPOs, 2018–202231,253 medically suitable
Participants
255,429 patients
Exposure
Family approach for donation by race/ethnicity
Outcome
Family approach rate, medically suitable cases
Methodological detailsdata collected prospectively by OPOs, multicentre (10 OPOs)
  • Data collected prospectively by OPOs
  • Multicentre (10 OPOs)

Main finding

As reported in the abstract

Multivariable; no significant difference
Each group vs whiteOdds ratio (95% CI)
Black
1.09(0.95–1.24)
Asian
1.23(0.95–1.60)
Overall family approach rate (n = 29,315)
94%

Observational data: associations, not effects.

Further findings

Screened-in for further evaluation

Medically suitable among screened-in

Donor registration status, medically suitable · highly variable by race/ethnicity

Screened-in for further evaluation — Overall screened-in
138,622 (54%)
Medically suitable among screened-in — Overall medically suitable
31,253 (23%)
Donor registration status, medically suitable — Overall
37%

Family approach by death pathway

Circulatory death
95%
Brain death
97%
Minimal differences by race/ethnicity within death pathways

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Racial Equity in Family Approach for Patients Medically Suitable for Deceased Organ Donation*. Crit Care Med. Published 16 September 2024. doi:10.1097/ccm.0000000000006415

Composed by AI from the published abstract and checked against it. How Briefs are made →

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