Acute cardiac care & resuscitation

Controlled donation after circulatory death in post-cardiac arrest patients: Estimates from a large registry

ResuscitationPublished Prospective registry-based cohort study

Authors' conclusion

Organ donation by cDCD after cardiac arrest could provide a large pool of donors in France.

Study context

Population
Adults with out-of-hospital cardiac arrest (OHCA) and stable return of spontaneous circulation (ROSC) who died in intensive care unit (ICU) after withdrawal of life-sustaining treatments (WLST) due to post-anoxic brain injury, Paris and suburbs, 2011–2018of 4638 admitted to ICU
Participants
1,034 adults
Outcome
Potential for organ donation by cDCD
Methodological detailsregional registry (Great Paris area)
  • Regional registry (Great Paris area)

Main finding

As reported in the abstract

Potential cDCD donors (French criteria)

Potential cDCD donors

421/1034

41%

Potential cDCD donors per year in a 4.67 million population

55

Observational data: associations, not effects.

Further findings

Extrapolated cDCD potential in France (standardised for age and sex)

Patients per year in France
515 (95% CI 471-560)
Annual incidence per 100 000 inhabitants
1.18

Original publication

Controlled donation after circulatory death in post-cardiac arrest patients: Estimates from a large registry. Resuscitation. Published 4 April 2024. doi:10.1016/j.resuscitation.2024.110202

Summarised from the published abstract; every number is checked against it

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