Influence of basic cardiopulmonary reanimation on uncontrolled donors after cardiac death
Alonso Mateos-Rodriguez1,2,3, Maria Jose Polonio Anguas1, Maria Cristina De La Torre Toyos1, Jose Maria Navalpotro Pascual3, Carmen Cardos Alonso3, Fernando Neira Serrano2, Francisco Jose Del Rio Gallegos1.
1Regional Coordination Office, Consejeria de Sanidad, Madrid, Spain; 2Facultad de Medicina, Universidad Francisco de Vitoria, Madrid, Spain; 3SUMMA112, Comunidad de Madrid, Madrid, Spain
Introduction: The objective of this study is to determine if the application of basic CPR in patients who have undergone a CPA and, subsequently, have been referred as donors in uncontrolled asystole, has any influence on the procurement of organs for transplantation.
Material and Methods: The variables collected are affiliation data, performance of bCPR, cause of death, attendance times and donated organs. The analysis with quantitative variables that follow normal distribution, are shown as mean ± SD and student's t test is applied to compare. The analysis of the variables that do not follow the normal distribution are shown as median [interquartile range] and the Wilcoxon test is applied to compare.
Results: 91 cases of transfers of possible DANC are collected. bCPR was performed in 61 patients (67.7%) and bCPR was not performed in 27 patients (23.3%). Of the group that received bPCR, 39 (73.6%) patients were ultimately effective donors compared to the non-bPCR group in which 22 (62.9%) were effective donors (p=0.28).
Conclusion: According to our series, performing basic CPR does not seem to increase the chances that this patient will be a donor. Not even doing a detailed analysis by donated organ (kidney, liver or lung) we were able to detect an association with bCPR.
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