Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation
Authors: Nicole Karam, Patricia Jabre, Florence Dumas, Alain Cariou, Xavier Jouven
Journal: Annals of Internal Medicine (2017)

Letters18 April 2017Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ DonationNicole Karam, MD, MPH, Patricia Jabre, MD, PhD, Florence Dumas, MD, PhD, Alain Cariou, MD, PhD, and Xavier Jouven, MD, PhDNicole Karam, MD, MPHFrom Paris Sudden Death Expertise Center and Assistance Publique Hôpitaux de Paris, Paris, France; Paris Sudden Death Expertise Center, Assistance Publique Hôpitaux de Paris, and Université Paris Descartes, Paris, France., Patricia Jabre, MD, PhDFrom Paris Sudden Death Expertise Center and Assistance Publique Hôpitaux de Paris, Paris, France; Paris Sudden Death Expertise Center, Assistance Publique Hôpitaux de Paris, and Université Paris Descartes, Paris, France., Florence Dumas, MD, PhDFrom Paris Sudden Death Expertise Center and Assistance Publique Hôpitaux de Paris, Paris, France; Paris Sudden Death Expertise Center, Assistance Publique Hôpitaux de Paris, and Université Paris Descartes, Paris, France., Alain Cariou, MD, PhDFrom Paris Sudden Death Expertise Center and Assistance Publique Hôpitaux de Paris, Paris, France; Paris Sudden Death Expertise Center, Assistance Publique Hôpitaux de Paris, and Université Paris Descartes, Paris, France., and Xavier Jouven, MD, PhDFrom Paris Sudden Death Expertise Center and Assistance Publique Hôpitaux de Paris, Paris, France; Paris Sudden Death Expertise Center, Assistance Publique Hôpitaux de Paris, and Université Paris Descartes, Paris, France.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0071 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:The results from RéAC, the French national cardiac arrest registry, seem to confirm that our 3 proposed criteria successfully identify patients with out-of-hospital cardiac arrest with an almost nonexistent chance of survival. Authors of large series on termination-of-resuscitation rules agree that a survival rate of 0.6% (<1%) reflects medical futility (1). Ms. Escutnaire and colleagues furthermore clearly highlight the major difficulty facing organ donation. Precise phenotyping is absolutely necessary when selecting patients for organ donation in the setting of sudden cardiac death. However, accurate information is often difficult to obtain, which probably explains the low rate of persons ...Reference1. Morrison LJ, Visentin LM, Kiss A, Theriault R, Eby D, Vermeulen M, et al; TOR Investigators. Validation of a rule for termination of resuscitation in out-of-hospital cardiac arrest. N Engl J Med. 2006;355:478-87. [PMID: 16885551] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Paris Sudden Death Expertise Center and Assistance Publique Hôpitaux de Paris, Paris, France; Paris Sudden Death Expertise Center, Assistance Publique Hôpitaux de Paris, and Université Paris Descartes, Paris, France.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0402. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEarly Identification of Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation Patricia Jabre , Wulfran Bougouin , Florence Dumas , Pierre Carli , Corinne Antoine , Laurent Jacob , Benjamin Dahan , Frankie Beganton , Jean-Philippe Empana , Eloi Marijon , Nicole Karam , Alexandre Loupy , Carmen Lefaucheur , Daniel Jost , Alain Cariou , Frédéric Adnet , Thomas D. Rea , and Xavier Jouven Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation Joséphine Escutnaire , Hervé Hubert , Pierre-Yves Dubien , and Pierre-Yves Gueugniaud Metrics 18 April 2017Volume 166, Issue 8Page: 608-609KeywordsDisclosureHeartSudden cardiac deathSurvival analysis ePublished: 18 April 2017 Issue Published: 18 April 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...