Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation
Authors: Joséphine Escutnaire, Hervé Hubert, Pierre-Yves Dubien, Pierre-Yves Gueugniaud
Journal: Annals of Internal Medicine (2017)

Letters18 April 2017Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ DonationJoséphine Escutnaire, MSc, Hervé Hubert, PhD, Pierre-Yves Dubien, MD, and Pierre-Yves Gueugniaud, MD, PhDJoséphine Escutnaire, MScFrom University of Lille and RéAC, Lille, France; SAMU, Lyon University Hospital, Lyon, France.Search for more papers by this author, Hervé Hubert, PhDFrom University of Lille and RéAC, Lille, France; SAMU, Lyon University Hospital, Lyon, France.Search for more papers by this author, Pierre-Yves Dubien, MDFrom University of Lille and RéAC, Lille, France; SAMU, Lyon University Hospital, Lyon, France.Search for more papers by this author, and Pierre-Yves Gueugniaud, MD, PhDFrom University of Lille and RéAC, Lille, France; SAMU, Lyon University Hospital, Lyon, France.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0072 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Jabre and colleagues (1) attempted to determine criteria to identify patients with out-of-hospital cardiac arrest with no chance of survival to orient them toward organ donation. Indeed, the worldwide penury of organs is a major health issue (2). Furthermore, the authors highlight that stopping attempts at cardiopulmonary resuscitation in these patients may be reasonable considering the almost nonexistent chances of survival. The main problem is that these termination rules do not consider organ donation and that delays in identifying patients in whom resuscitation is futile lead to loss of potential donors (3, 4). The authors identified 3 ...References1. Jabre P, Bougouin W, Dumas F, Carli P, Antoine C, Jacob L, et al. Early identification of patients with out-of-hospital cardiac arrest with no chance of survival and consideration for organ donation. Ann Intern Med. 2016;165:770-8. [PMID: 27618681]. doi:10.7326/M16-0402 LinkGoogle Scholar2. Weber M, Dindo D, Demartines N, Ambühl PM, Clavien PA. Kidney transplantation from donors without a heartbeat. N Engl J Med. 2002;347:248-55. [PMID: 12140300] CrossrefMedlineGoogle Scholar3. Fieux F, Losser MR, Bourgeois E, Bonnet F, Marie O, Gaudez F, et al. Kidney retrieval after sudden out of hospital refractory cardiac arrest: a cohort of uncontrolled non heart beating donors. Crit Care. 2009;13:R141. [PMID: 19715564] doi:10.1186/cc8022 CrossrefMedlineGoogle Scholar4. Manara AR, Dominguez-Gil B, Pérez-Villares JM, Soar J. What follows refractory cardiac arrest: Death, extra-corporeal cardiopulmonary resuscitation (E-CPR), or uncontrolled donation after circulatory death? [Editorial]. Resuscitation. 2016;108:A3-5. [PMID: 27614286] doi:10.1016/j.resuscitation.2016.08.028 CrossrefMedlineGoogle Scholar5. Hubert H, Tazarourte K, Wiel E, Zitouni D, Vilhelm C, Escutnaire J, et al; GR-RéAC. Rationale, methodology, implementation, and first results of the French out-of-hospital cardiac arrest registry. Prehosp Emerg Care. 2014;18:511-9. [PMID: 24877567] doi:10.3109/10903127.2014.916024 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Lille and RéAC, Lille, France; SAMU, Lyon University Hospital, Lyon, France.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L17-0072. 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 Nicole Karam , Patricia Jabre , Florence Dumas , Alain Cariou , and Xavier Jouven Metrics 18 April 2017Volume 166, Issue 8Page: 608KeywordsCardiopulmonary resuscitationCohort studiesDatabasesDisclosureEmergency medical servicesEpinephrineHeartResuscitationSpecificityTransplantation ePublished: 18 April 2017 Issue Published: 18 April 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...