Overseas organ donation during wartime operations: Benchmarking military performance against civilian practice.

Abstract:

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.

journal_name

Am J Surg

authors

Oh JS,Malinoski D,Martin KD,De La Cruz JS,Zonies D

doi

10.1016/j.amjsurg.2017.01.024

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

303-306

issue

2

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(16)30636-5

journal_volume

214

pub_type

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