Fatal gunshot wounds to the head: a critical appraisal of organ donation rates.

Abstract

BACKGROUND:

Patients sustaining fatal gunshot wounds to the head are often young, without associated comorbidities, and are potentially ideal transplantation candidates.

METHODS:

A 5-year review of a level I trauma center's prospective database was performed for all patients sustaining fatal gunshot wounds to the head. Demographic, physiologic, anatomic, and laboratory variables were collected.

RESULTS:

Sixty-eight patients were identified, of whom 10 (14.7%) were organ donors. Of 25 admitted to the intensive care unit who eventually did not become donors, 15 (60%) were due to lack of consent.

CONCLUSIONS:

Despite frequent intensive care unit admissions, organ donation is infrequent following fatal gunshot wounds to the head, primarily because of lack of consent. Improved communication with next of kin could improve organ recovery and reduce futile care in this group.

• Authors: Aaron Brody, Jeffry L Kashuk, Ernest E Moore, Kathryn Beauchamp, Carlton Barnett, Walter L Biffl, C Clay Burlew, Jeffrey L Johnson, Angela Sauaia
• Journal: American journal of surgery (Am J Surg) Vol. 200 Issue 6 Pg. 728-33; discussion 733 (Dec 2010) ISSN: 1879-1883 [Electronic] United States
• PMID: 21146012 (Publication Type: Journal Article)
• Copyright: Copyright © 2010 Elsevier Inc. All rights reserved.

Topics

• Adult
• Brain Death (diagnosis)
• Female
• Head Injuries, Penetrating (pathology)
• Humans
• Length of Stay
• Male
• Third-Party Consent
• Tissue and Organ Procurement (organization & administration, statistics & numerical data)
• Trauma Centers
• Wounds, Gunshot (pathology)