Deaths from motor vehicle crashes are the biggest source of donor organs nationwide. But amid coronavirus shutdowns, fewer traffic collisions mean longer waits for organ donations.
From March 8 to April 11, the number of organ donors who died in traffic collisions was down 23% nationwide compared with the same period last year, while donors who died in all other types of accidents were down 21%, according to data from UNOS.
At Kaiser Permanente medical centers in Northern California, where 4.4 million patients get care, weekly hospital admissions for heart attacks haveStrokes and heart attacks are the second and third most common sources of organ donations, accounting for 27% and 20% of organs, respectively, according to UNOS.
Earlier in the pandemic, as medical centers braced for a wave of COVID-19 patients, they wanted to free up as many ventilators as possible. In addition to donors needing to die on ventilators to keep their organs viable, doctors often keep them on ventilators for two or three days while transplant teams and recipients are lined up. Then the recipients need to be on ventilators during surgery.
And a shortage of coronavirus testing supplies made it difficult for transplant centers to test potential donors who later died of other causes to make sure they were not infected with the virus. "That involves bringing two patients into the hospital — the donor and the recipient — and we certainly didn't want to put donors at any significant extra risk," Freise says."Living-donor kidney transplants ground down to almost a complete halt in most programs across the country."
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