Pediatric Trauma Fatalities: Organ Donor Characteristics at a Tertiary Pediatric Trauma Center
Tal Koppelmann, *Ilan Maizlin, Adam Lansdon, *Robert Russell
UAB, Birmingham, AL
Purpose: Organ donation rates have steadily risen in the United States. Still many children await solid organ transplants for long periods. Multi-trauma is one of the leading causes of brain death in the pediatric population. For this reason, pediatric trauma fatalities are considered a potential source of organ donation. We sought to characterize the trauma patients according their organ donation status.
Methods: We combined our institution trauma registry data with data from the Alabama Organ Center from 2005 to 2015. We reviewed all trauma fatalities presenting as the two highest alert levels. Standard statistical methods were utilized.
Results: Over the study period, there were 147 fatalities out of 5116 trauma alerts accounting for an overall mortality of 2.8%. The average age was 6.8 ± 5.0 years, male to female ratio was 1.6:1, and there was an equal ratio of African American to Caucasian. Motor vehicle accidents (MVA) accounted for 71% of the total mortality rate. The overall organ procurement rate was 31%. Differences between donors and non-donors are displayed in Table 1.
Conclusions: Pediatric organ donors following fatal trauma were more likely to be Caucasian, of older age, and involved in MVA. Further determination of the organ donation distribution using larger populations is needed in order to suggest treatment and counseling strategies to maximize the procurement potential and improve the existing donor pool.
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