Documenting graft outcome to substantiate the organ-donation rationale after out-of-hospital cardiac arrest due to aneurysmal subarachnoid haemorrhage - Takeaways - MDSpire
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Reporting Graft Outcomes to Support Organ Donation After Out-of-Hospital Cardiac Arrest Caused by Aneurysmal Subarachnoid Haemorrhage

  • By

  • Nicolas Chardon

  • Benjamin Andanson

  • Louis Bouchant

  • Pierre-Antoine Pioche

  • Baptiste Balança

  • October 13, 2026

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  • 1

    In a multicentre cohort of 164 patients with OHCA-aSAH, 8 (4.9%) had favourable outcomes, and only 1 (0.6%) achieved an mRS score of 0–1.

  • 2

    The association between aneurysm coiling and favourable outcome cannot establish a treatment effect because treatment depended on early survival and clinical selection, with no untreated favourable-ou

  • 3

    Brain death occurred early, at a median of 1 day, but the study did not report key event timings needed to characterize clinical trajectories or assess treatment effects.

  • 4

    Although 45.4% of brain-dead patients proceeded to donation, the study reported no organs retrieved or transplanted, graft function, recipient outcomes, or reasons for non-donation.

  • 5

    The authors propose recording time-resolved clinical and donation outcomes in future cohorts and considering controlled donation after circulatory death when eligible and consistent with local protoco

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