Acute cardiac care & resuscitation

Does cardiopulmonary resuscitation before donor death affect solid organ transplant function? A systematic review and meta-analysis

ResuscitationPublished systematic review and meta-analysis

Authors' conclusion

Organs transplanted from donors who received CPR demonstrated comparable outcomes at the longest follow-up compared to organs from donors who did not receive CPR. Kidneys and livers after uncontrolled donation after circulatory death showed worse outcomes compared to donation after brain death.

Study context

Population
Solid organ transplants from donors who underwent cardiopulmonary resuscitation (CPR) vs donors who did not receive CPRdonors, 33 studies (26 in adults)
Participants
72,994 participants
Comparison
Solid organs transplanted from donors who underwent CPR compared to organs from donors who did not receive CPR
Outcome
graft survival at the longest follow-up
Follow-up
Longest

Pooled result

As reported in the abstract

Odds ratio (CI)
Donation after uncontrolled circulatory deathvs donation after brain deathlivers; lower long-term survival
0.51(0.32–0.83)
Donation after uncontrolled circulatory deathvs donation after brain deathkidneys; long-term survival not lower
0.64(0.36–1.15)
Donation in controlled circulatory deathvs uncontrolled circulatory deathkidneys; two studies; no different long-term survival
0.73(0.27–1.99)

Further pooled results

Short-term graft survival, kidneys

Lower short-term survival for kidneys after donation after uncontrolled circulatory death vs donation after brain death

Original publication

Does cardiopulmonary resuscitation before donor death affect solid organ transplant function? A systematic review and meta-analysis. Resuscitation. Published 21 May 2025. doi:10.1016/j.resuscitation.2025.110654

Composed by AI from the published abstract and checked against it. How Briefs are made →

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