TY - JOUR
T1 - Overseas organ donation during wartime operations
T2 - Benchmarking military performance against civilian practice
AU - Oh, John S.
AU - Malinoski, Darren
AU - Martin, Kathleen D.
AU - De La Cruz, J. Salvador
AU - Zonies, David
N1 - Publisher Copyright:
© 2017
PY - 2017/8
Y1 - 2017/8
N2 - Background Over the past 15 years of war, eligible U.S. military members donated organs overseas in Germany. Our hypothesis was that outcomes at a military treatment facility were comparable to a civilian cohort. Methods Military donors were matched 1:3 with a donor cohort from the U.S. United Network for Organ Sharing. Data were compared using univariate and multivariate analysis. Significance set at p < 0.05. Results Forty military organ donors were compared with 116 civilian matched donors. The military cohort conversion rate was 75.5% and recovered more organs per donor (4.6 vs. 4.0, p = 0.02) with more transplants (4.2 vs 3.5, p = 0.01). Multivariate analysis controlling for sex, age, and type of organ donation showed no difference in odds of total organs donated in the military versus civilian cohort (odds ratio 2.1, 95% CI 0.87–5.24, p = 0.10). Conclusions Organ donation at a military treatment facility overseas can be accomplished successfully.
AB - Background Over the past 15 years of war, eligible U.S. military members donated organs overseas in Germany. Our hypothesis was that outcomes at a military treatment facility were comparable to a civilian cohort. Methods Military donors were matched 1:3 with a donor cohort from the U.S. United Network for Organ Sharing. Data were compared using univariate and multivariate analysis. Significance set at p < 0.05. Results Forty military organ donors were compared with 116 civilian matched donors. The military cohort conversion rate was 75.5% and recovered more organs per donor (4.6 vs. 4.0, p = 0.02) with more transplants (4.2 vs 3.5, p = 0.01). Multivariate analysis controlling for sex, age, and type of organ donation showed no difference in odds of total organs donated in the military versus civilian cohort (odds ratio 2.1, 95% CI 0.87–5.24, p = 0.10). Conclusions Organ donation at a military treatment facility overseas can be accomplished successfully.
KW - Combat casualty care
KW - Organ donation
KW - Organ transplant
UR - http://www.scopus.com/inward/record.url?scp=85013196863&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2017.01.024
DO - 10.1016/j.amjsurg.2017.01.024
M3 - Article
C2 - 28233540
AN - SCOPUS:85013196863
SN - 0002-9610
VL - 214
SP - 303
EP - 306
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 2
ER -