RT Book, Section A1 Kubal, Chandrashekhar A. A1 Tector, Joseph A. A2 Moore, Ernest E. A2 Feliciano, David V. A2 Mattox, Kenneth L. SR Print(0) ID 1147419828 T1 Organ Donation from Trauma Patients T2 Trauma, 8e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071847292 LK accesssurgery.mhmedical.com/content.aspx?aid=1147419828 RD 2024/03/28 AB Solid organ transplantation remains the only lifesaving option for an increasing number of patients. Transplantation is now the treatment of choice for end-stage kidney, liver, pancreas, heart, lung, and intestine failure patients who have no contraindications to transplantation. In addition, there is an increasing demand for bone, skin, and other tissues from brain dead donors used in the treatment of other disease processes. However, the number of people requiring organ transplants is simply higher than the number of organs available. Newer approaches such as xenotransplantation and bioengineering are still in experimental stages,1 and despite advances in living-related solid organ transplantation the majority of transplant recipients remain dependent on cadaveric organ donors. With improved supportive care for patients with advanced organ failure and expanded indications for transplantation the gap between demand and supply of organs is continually increasing (Fig. 50-1). Every 10 minutes, someone is added to the national transplant waiting list and on average, 21 people die each day while waiting for a transplant [http://optn.transplant.hrsa.gov]. Currently in the United States, there are 123,337 patients active on the waiting list. In the year 2014, a total of 29,533 solid organ transplants were performed from 14,412 donors, of whom 8594 were deceased donors and 5818 were living donors. One promising strategy to decrease the gap between the organ donation need and supply is to increase the available donor pool. It is estimated that the actual number of donors in the United States represents about one-third of the potential number of donors, and there certainly is room for improvement.2