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在医疗协助死亡后的器官捐赠:从2018年到2022年在北克省进行的一项描述性研究

Matthew J Weiss¹, Mathilde Dupras-Langlais², Marie-Josée Lavigne²

¹Transplant Québec (Weiss, Dupras-Langlais, M.-J. Lavigne, S. Lavigne, Martel, Chaudhury), Montréal, Que.; Division of Critical Care, Department of Pediatrics (Weiss), Centre Mère-Enfant Soleil du CHU de Québec, Que.; McGill University Health Centre (Chaudhury), Montréal, Que. matthew.weiss.med@ssss.gouv.qc.ca.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

|January 29, 2024

概括

在北克省,医疗协助死亡 (MAiD) 之后的器官捐献在五年内显著增加. MAiD供体从2018年的4.9%上升到2022年的14.0%,为移植提供了182个器官.

科学领域:

移植医学移植医学
生物伦理学生物伦理学
公共卫生政策公共卫生政策

背景情况:

自从实施以来,死亡医疗援助 (MAiD) 已使北克的死者器官捐赠成为可能.
这项研究考察了在北克省MAiD之后的器官捐献病例,在最初的五年内.

研究的目的:

在北克省MAiD之后,描述器官捐献的特点和结果.
分析MAiD相关器官转诊的趋势和转换率.

主要方法:

在MAiD进行后,对所有器官捐献转诊的回顾性审查.
数据从2018年1月到2022年12月收集,并以描述形式呈现.

主要成果:

在接受MAiD后,有245人被转诊为器官捐献,其中82人被保留 (33.5%),64人成为实际捐献者 (26.1%的转换率).
182个器官 (116个脏,20个肝脏,46个肺) 被移植.
MAiD捐赠者从2018年的4.9%的死亡捐赠者增加到2022年的14.0%.

结论:

在北克省,在MAiD后的死者捐赠在前五年大幅增加.
需要进一步的研究来优化MAiD器官捐献请求的伦理和有效管理系统.

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