Hospital characteristics associated with increased conversion rates among organ donors in New England
<strong>Background</strong> It is unknown whether hospital characteristics affect institutional performance with regard to organ donation. We sought to determine which hospital- and patient-level characteristics are associated with high organ donor conversion rates after brain death (DB...
| Main Authors: | , , , , , , , |
|---|---|
| Formato: | Journal article |
| Publicado em: |
Elsevier
2017
|
| _version_ | 1826283191695048704 |
|---|---|
| author | Rios-Diaz, A Olufajo, O Stinebring, J Endicott, S McKown, B Metcalfe, D Zogg, C Salim, A |
| author_facet | Rios-Diaz, A Olufajo, O Stinebring, J Endicott, S McKown, B Metcalfe, D Zogg, C Salim, A |
| author_sort | Rios-Diaz, A |
| collection | OXFORD |
| description | <strong>Background</strong> It is unknown whether hospital characteristics affect institutional performance with regard to organ donation. We sought to determine which hospital- and patient-level characteristics are associated with high organ donor conversion rates after brain death (DBD). <strong>Methods</strong> Data were extracted from the regional Organ Procurement Organization (2011–2014) and other sources. Hospitals were stratified into high-conversion hospitals (HCH; upper-tertile) and low-conversion hospitals (LCH; lower-tertile) according to conversion rates. Hospital- and patient-characteristics were compared between groups. <strong>Results</strong> There were 564 potential DBD donors in 27 hospitals. Conversion rates differed between hospitals in different states (p < 0.001). HCH were more likely to be small (median bed size 194 vs. 337; p = 0.024), non-teaching hospitals (40% vs. 88%; p = 0.025), non-trauma center (30% vs. 77%; p = 0.040). Potential donors differed between HCH and LCH in race (p < 0.01) and mechanism of injury/disease process (p < 0.01). <strong>Conclusion</strong> There is significant variation between hospitals in terms of organ donor conversion rates. This suggests that there is a pool of potential donors in large specialized hospitals that are not successfully converted to DBD. |
| first_indexed | 2024-03-07T00:55:12Z |
| format | Journal article |
| id | oxford-uuid:87d3f90f-f8ea-4029-90b2-af1a46179551 |
| institution | University of Oxford |
| last_indexed | 2024-03-07T00:55:12Z |
| publishDate | 2017 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:87d3f90f-f8ea-4029-90b2-af1a461795512022-03-26T22:13:05ZHospital characteristics associated with increased conversion rates among organ donors in New EnglandJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:87d3f90f-f8ea-4029-90b2-af1a46179551Symplectic Elements at OxfordElsevier2017Rios-Diaz, AOlufajo, OStinebring, JEndicott, SMcKown, BMetcalfe, DZogg, CSalim, A<strong>Background</strong> It is unknown whether hospital characteristics affect institutional performance with regard to organ donation. We sought to determine which hospital- and patient-level characteristics are associated with high organ donor conversion rates after brain death (DBD). <strong>Methods</strong> Data were extracted from the regional Organ Procurement Organization (2011–2014) and other sources. Hospitals were stratified into high-conversion hospitals (HCH; upper-tertile) and low-conversion hospitals (LCH; lower-tertile) according to conversion rates. Hospital- and patient-characteristics were compared between groups. <strong>Results</strong> There were 564 potential DBD donors in 27 hospitals. Conversion rates differed between hospitals in different states (p < 0.001). HCH were more likely to be small (median bed size 194 vs. 337; p = 0.024), non-teaching hospitals (40% vs. 88%; p = 0.025), non-trauma center (30% vs. 77%; p = 0.040). Potential donors differed between HCH and LCH in race (p < 0.01) and mechanism of injury/disease process (p < 0.01). <strong>Conclusion</strong> There is significant variation between hospitals in terms of organ donor conversion rates. This suggests that there is a pool of potential donors in large specialized hospitals that are not successfully converted to DBD. |
| spellingShingle | Rios-Diaz, A Olufajo, O Stinebring, J Endicott, S McKown, B Metcalfe, D Zogg, C Salim, A Hospital characteristics associated with increased conversion rates among organ donors in New England |
| title | Hospital characteristics associated with increased conversion rates among organ donors in New England |
| title_full | Hospital characteristics associated with increased conversion rates among organ donors in New England |
| title_fullStr | Hospital characteristics associated with increased conversion rates among organ donors in New England |
| title_full_unstemmed | Hospital characteristics associated with increased conversion rates among organ donors in New England |
| title_short | Hospital characteristics associated with increased conversion rates among organ donors in New England |
| title_sort | hospital characteristics associated with increased conversion rates among organ donors in new england |
| work_keys_str_mv | AT riosdiaza hospitalcharacteristicsassociatedwithincreasedconversionratesamongorgandonorsinnewengland AT olufajoo hospitalcharacteristicsassociatedwithincreasedconversionratesamongorgandonorsinnewengland AT stinebringj hospitalcharacteristicsassociatedwithincreasedconversionratesamongorgandonorsinnewengland AT endicotts hospitalcharacteristicsassociatedwithincreasedconversionratesamongorgandonorsinnewengland AT mckownb hospitalcharacteristicsassociatedwithincreasedconversionratesamongorgandonorsinnewengland AT metcalfed hospitalcharacteristicsassociatedwithincreasedconversionratesamongorgandonorsinnewengland AT zoggc hospitalcharacteristicsassociatedwithincreasedconversionratesamongorgandonorsinnewengland AT salima hospitalcharacteristicsassociatedwithincreasedconversionratesamongorgandonorsinnewengland |