Hospital‐Independent Organ Recovery from Deceased Donors: A Two‐Year Experience
Early experience with deceased donor (DD) organ recovery outside of the hospital setting was found to be safe, efficient and cost effective. A 2‐year experience under current practice protocols implemented to further process improvements is now reviewed. From December 1, 2001 to December 31, 2003, 1...
Gespeichert in:
| Veröffentlicht in: | American journal of transplantation 2005-05, Vol.5 (5), p.1105-1110 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1110 |
|---|---|
| container_issue | 5 |
| container_start_page | 1105 |
| container_title | American journal of transplantation |
| container_volume | 5 |
| creator | Jendrisak, Martin D. Hruska, Keith Wagner, Jessica Chandler, Dianne Kappel, Dean |
| description | Early experience with deceased donor (DD) organ recovery outside of the hospital setting was found to be safe, efficient and cost effective. A 2‐year experience under current practice protocols implemented to further process improvements is now reviewed.
From December 1, 2001 to December 31, 2003, 123 criteria eligible DDs were transferred from local and regional hospitals to the Mid‐America Transplant Services (MTS) facility for organ and tissue recovery. In this retrospective analysis, outcome comparisons were made with 79 conventional hospital‐based recoveries.
Compared to hospital recoveries, MTS facility recoveries were associated with significantly reduced critical care unit time (819 vs. 502 min), time to cross‐clamp following brain death (966 vs. 731 min), operating room delay (54 vs. 9 min) and a trend toward reduced organ cold ischemia times which reached significance for heart and lungs when compared to regional hospital recoveries (147 vs. 221 and 192 vs. 327 min). MTS facility recovery afforded substantial cost savings over local and regional hospital recoveries ($6,690 and $5,452 per donor, respectively).
The current practice of DD recovery at the MTS facility was applicable for most recoveries, improved process efficiency, and afforded substantial cost savings without donor compromise. |
| doi_str_mv | 10.1111/j.1600-6143.2005.00804.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67717277</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67717277</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3964-eea3fe98d70aa52b7045a959617342be56c858202f19ab90acd2f86386b8ac323</originalsourceid><addsrcrecordid>eNqNkMtOGzEUhq2KqlDaV6i8gV2mvsz4gthEQIEKCalNF11ZZzxnqokm48FOINn1EfqMPEmdJoJtvbCP5O-3z_kIoZwVPK_P84IrxiaKl7IQjFUFY4aVxfoNOXq5OHipZXVI3qc0Z4xrYcQ7csgrw5Wx8oh8vwlp7JbQP__-czs0OGLehiW9j79goN_Qh0eMG9rGsKCX6BESNvQyDCGmMzqls6eQgz8RIr1ajxg7HDx-IG9b6BN-3J_H5MeXq9nFzeTu_vr2Yno38dKqcoIIskVrGs0AKlFrVlZgK6u4lqWosVLeVEYw0XILtWXgG9EaJY2qDXgp5DE53b07xvCwwrR0iy557HsYMKySU1rngbXOoNmBPoaUIrZujN0C4sZx5rZC3dxtXbmtN7cV6v4Jdesc_bT_Y1UvsHkN7g1m4GQPQPLQtxEG36VXTmlureaZO99xT12Pm_9uwE2_znIh_wJwPpHZ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67717277</pqid></control><display><type>article</type><title>Hospital‐Independent Organ Recovery from Deceased Donors: A Two‐Year Experience</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Jendrisak, Martin D. ; Hruska, Keith ; Wagner, Jessica ; Chandler, Dianne ; Kappel, Dean</creator><creatorcontrib>Jendrisak, Martin D. ; Hruska, Keith ; Wagner, Jessica ; Chandler, Dianne ; Kappel, Dean</creatorcontrib><description>Early experience with deceased donor (DD) organ recovery outside of the hospital setting was found to be safe, efficient and cost effective. A 2‐year experience under current practice protocols implemented to further process improvements is now reviewed.
From December 1, 2001 to December 31, 2003, 123 criteria eligible DDs were transferred from local and regional hospitals to the Mid‐America Transplant Services (MTS) facility for organ and tissue recovery. In this retrospective analysis, outcome comparisons were made with 79 conventional hospital‐based recoveries.
Compared to hospital recoveries, MTS facility recoveries were associated with significantly reduced critical care unit time (819 vs. 502 min), time to cross‐clamp following brain death (966 vs. 731 min), operating room delay (54 vs. 9 min) and a trend toward reduced organ cold ischemia times which reached significance for heart and lungs when compared to regional hospital recoveries (147 vs. 221 and 192 vs. 327 min). MTS facility recovery afforded substantial cost savings over local and regional hospital recoveries ($6,690 and $5,452 per donor, respectively).
The current practice of DD recovery at the MTS facility was applicable for most recoveries, improved process efficiency, and afforded substantial cost savings without donor compromise.</description><identifier>ISSN: 1600-6135</identifier><identifier>EISSN: 1600-6143</identifier><identifier>DOI: 10.1111/j.1600-6143.2005.00804.x</identifier><identifier>PMID: 15816893</identifier><language>eng</language><publisher>Oxford, UK: Munksgaard International Publishers</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Cadaver ; Cadaveric organs ; Costs and Cost Analysis ; donation ; economy ; Female ; Health Facilities ; Hospitals ; Humans ; Ischemia ; Male ; Medical sciences ; Middle Aged ; Organ Preservation - methods ; Organ Transplantation - economics ; Organ Transplantation - methods ; Organ Transplantation - standards ; procurement ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Time Factors ; Tissue and Organ Harvesting ; Tissue and Organ Procurement ; Tissue Donors ; Treatment Outcome</subject><ispartof>American journal of transplantation, 2005-05, Vol.5 (5), p.1105-1110</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3964-eea3fe98d70aa52b7045a959617342be56c858202f19ab90acd2f86386b8ac323</citedby><cites>FETCH-LOGICAL-c3964-eea3fe98d70aa52b7045a959617342be56c858202f19ab90acd2f86386b8ac323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-6143.2005.00804.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-6143.2005.00804.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16719971$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15816893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jendrisak, Martin D.</creatorcontrib><creatorcontrib>Hruska, Keith</creatorcontrib><creatorcontrib>Wagner, Jessica</creatorcontrib><creatorcontrib>Chandler, Dianne</creatorcontrib><creatorcontrib>Kappel, Dean</creatorcontrib><title>Hospital‐Independent Organ Recovery from Deceased Donors: A Two‐Year Experience</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>Early experience with deceased donor (DD) organ recovery outside of the hospital setting was found to be safe, efficient and cost effective. A 2‐year experience under current practice protocols implemented to further process improvements is now reviewed.
From December 1, 2001 to December 31, 2003, 123 criteria eligible DDs were transferred from local and regional hospitals to the Mid‐America Transplant Services (MTS) facility for organ and tissue recovery. In this retrospective analysis, outcome comparisons were made with 79 conventional hospital‐based recoveries.
Compared to hospital recoveries, MTS facility recoveries were associated with significantly reduced critical care unit time (819 vs. 502 min), time to cross‐clamp following brain death (966 vs. 731 min), operating room delay (54 vs. 9 min) and a trend toward reduced organ cold ischemia times which reached significance for heart and lungs when compared to regional hospital recoveries (147 vs. 221 and 192 vs. 327 min). MTS facility recovery afforded substantial cost savings over local and regional hospital recoveries ($6,690 and $5,452 per donor, respectively).
The current practice of DD recovery at the MTS facility was applicable for most recoveries, improved process efficiency, and afforded substantial cost savings without donor compromise.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Cadaveric organs</subject><subject>Costs and Cost Analysis</subject><subject>donation</subject><subject>economy</subject><subject>Female</subject><subject>Health Facilities</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Organ Preservation - methods</subject><subject>Organ Transplantation - economics</subject><subject>Organ Transplantation - methods</subject><subject>Organ Transplantation - standards</subject><subject>procurement</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Time Factors</subject><subject>Tissue and Organ Harvesting</subject><subject>Tissue and Organ Procurement</subject><subject>Tissue Donors</subject><subject>Treatment Outcome</subject><issn>1600-6135</issn><issn>1600-6143</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtOGzEUhq2KqlDaV6i8gV2mvsz4gthEQIEKCalNF11ZZzxnqokm48FOINn1EfqMPEmdJoJtvbCP5O-3z_kIoZwVPK_P84IrxiaKl7IQjFUFY4aVxfoNOXq5OHipZXVI3qc0Z4xrYcQ7csgrw5Wx8oh8vwlp7JbQP__-czs0OGLehiW9j79goN_Qh0eMG9rGsKCX6BESNvQyDCGmMzqls6eQgz8RIr1ajxg7HDx-IG9b6BN-3J_H5MeXq9nFzeTu_vr2Yno38dKqcoIIskVrGs0AKlFrVlZgK6u4lqWosVLeVEYw0XILtWXgG9EaJY2qDXgp5DE53b07xvCwwrR0iy557HsYMKySU1rngbXOoNmBPoaUIrZujN0C4sZx5rZC3dxtXbmtN7cV6v4Jdesc_bT_Y1UvsHkN7g1m4GQPQPLQtxEG36VXTmlureaZO99xT12Pm_9uwE2_znIh_wJwPpHZ</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Jendrisak, Martin D.</creator><creator>Hruska, Keith</creator><creator>Wagner, Jessica</creator><creator>Chandler, Dianne</creator><creator>Kappel, Dean</creator><general>Munksgaard International Publishers</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200505</creationdate><title>Hospital‐Independent Organ Recovery from Deceased Donors: A Two‐Year Experience</title><author>Jendrisak, Martin D. ; Hruska, Keith ; Wagner, Jessica ; Chandler, Dianne ; Kappel, Dean</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3964-eea3fe98d70aa52b7045a959617342be56c858202f19ab90acd2f86386b8ac323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cadaver</topic><topic>Cadaveric organs</topic><topic>Costs and Cost Analysis</topic><topic>donation</topic><topic>economy</topic><topic>Female</topic><topic>Health Facilities</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Organ Preservation - methods</topic><topic>Organ Transplantation - economics</topic><topic>Organ Transplantation - methods</topic><topic>Organ Transplantation - standards</topic><topic>procurement</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Time Factors</topic><topic>Tissue and Organ Harvesting</topic><topic>Tissue and Organ Procurement</topic><topic>Tissue Donors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jendrisak, Martin D.</creatorcontrib><creatorcontrib>Hruska, Keith</creatorcontrib><creatorcontrib>Wagner, Jessica</creatorcontrib><creatorcontrib>Chandler, Dianne</creatorcontrib><creatorcontrib>Kappel, Dean</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jendrisak, Martin D.</au><au>Hruska, Keith</au><au>Wagner, Jessica</au><au>Chandler, Dianne</au><au>Kappel, Dean</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospital‐Independent Organ Recovery from Deceased Donors: A Two‐Year Experience</atitle><jtitle>American journal of transplantation</jtitle><addtitle>Am J Transplant</addtitle><date>2005-05</date><risdate>2005</risdate><volume>5</volume><issue>5</issue><spage>1105</spage><epage>1110</epage><pages>1105-1110</pages><issn>1600-6135</issn><eissn>1600-6143</eissn><abstract>Early experience with deceased donor (DD) organ recovery outside of the hospital setting was found to be safe, efficient and cost effective. A 2‐year experience under current practice protocols implemented to further process improvements is now reviewed.
From December 1, 2001 to December 31, 2003, 123 criteria eligible DDs were transferred from local and regional hospitals to the Mid‐America Transplant Services (MTS) facility for organ and tissue recovery. In this retrospective analysis, outcome comparisons were made with 79 conventional hospital‐based recoveries.
Compared to hospital recoveries, MTS facility recoveries were associated with significantly reduced critical care unit time (819 vs. 502 min), time to cross‐clamp following brain death (966 vs. 731 min), operating room delay (54 vs. 9 min) and a trend toward reduced organ cold ischemia times which reached significance for heart and lungs when compared to regional hospital recoveries (147 vs. 221 and 192 vs. 327 min). MTS facility recovery afforded substantial cost savings over local and regional hospital recoveries ($6,690 and $5,452 per donor, respectively).
The current practice of DD recovery at the MTS facility was applicable for most recoveries, improved process efficiency, and afforded substantial cost savings without donor compromise.</abstract><cop>Oxford, UK</cop><pub>Munksgaard International Publishers</pub><pmid>15816893</pmid><doi>10.1111/j.1600-6143.2005.00804.x</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1600-6135 |
| ispartof | American journal of transplantation, 2005-05, Vol.5 (5), p.1105-1110 |
| issn | 1600-6135 1600-6143 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67717277 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Biological and medical sciences Cadaver Cadaveric organs Costs and Cost Analysis donation economy Female Health Facilities Hospitals Humans Ischemia Male Medical sciences Middle Aged Organ Preservation - methods Organ Transplantation - economics Organ Transplantation - methods Organ Transplantation - standards procurement Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Time Factors Tissue and Organ Harvesting Tissue and Organ Procurement Tissue Donors Treatment Outcome |
| title | Hospital‐Independent Organ Recovery from Deceased Donors: A Two‐Year Experience |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T18%3A43%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hospital%E2%80%90Independent%20Organ%20Recovery%20from%20Deceased%20Donors:%20A%20Two%E2%80%90Year%20Experience&rft.jtitle=American%20journal%20of%20transplantation&rft.au=Jendrisak,%20Martin%20D.&rft.date=2005-05&rft.volume=5&rft.issue=5&rft.spage=1105&rft.epage=1110&rft.pages=1105-1110&rft.issn=1600-6135&rft.eissn=1600-6143&rft_id=info:doi/10.1111/j.1600-6143.2005.00804.x&rft_dat=%3Cproquest_cross%3E67717277%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=67717277&rft_id=info:pmid/15816893&rfr_iscdi=true |