{
  "abstract": "Paediatric organ donation remains limited despite persistent needs for transplantation, partly due to the small number of potential donors and the complexity of end-of-life decision-making in children. In paediatric intensive care units (PICUs), most deaths occur following withholding or withdrawal of life-sustaining treatments (WWLST), whereas organ donation predominantly relies on death by neurologic criteria (DNC). This discrepancy suggests that end-of-life trajectories may play a central role in shaping access to organ donation. However, the extent to which these trajectories translate into actual or potential donation opportunities remains insufficiently quantified. We aimed to describe end-of-life trajectories in a tertiary PICU and assess their relationship with organ donation pathways.1–4",
  "authors": [
    {
      "affiliations": [
        "Pediatric Intensive Care Unit, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, Occitanie, France"
      ],
      "name": "Clara Perenyi"
    },
    {
      "affiliations": [
        "Pediatric Intensive Care Unit, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, Occitanie, France"
      ],
      "name": "Julien-Frédéric Baleine"
    },
    {
      "affiliations": [
        "Pediatric Intensive Care Unit, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, Occitanie, France"
      ],
      "name": "Gilles Cambonie"
    },
    {
      "affiliations": [
        "Pediatric Intensive Care Unit, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, Occitanie, France",
        "PhyMedExp, CNRS, INSERM, University of Montpellier, Montpellier, Occitanie, France"
      ],
      "name": "Arthur Gaudaire"
    },
    {
      "affiliations": [
        "Pediatric Intensive Care Unit, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, Occitanie, France"
      ],
      "name": "Christophe Milési"
    },
    {
      "affiliations": [
        "Pediatric Intensive Care Unit, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, Occitanie, France"
      ],
      "name": "Sophie Mounier"
    },
    {
      "affiliations": [
        "Pediatric Intensive Care Unit, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, Occitanie, France"
      ],
      "name": "Manon Quintane"
    },
    {
      "affiliations": [
        "Department of Neurosurgery, Gui de Chauliac Hospital, and Donation and Transplantation Coordination Unit, Montpellier University Medical center, Montpellier University, Montpellier, Occitanie, France"
      ],
      "name": "Florence Vachiery Lahaye"
    },
    {
      "affiliations": [
        "Pediatric Intensive Care Unit, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, Occitanie, France",
        "PhyMedExp, CNRS, INSERM, University of Montpellier, Montpellier, Occitanie, France"
      ],
      "name": "Arthur Gavotto"
    }
  ],
  "title": "Access to organ donation in paediatric intensive care is shaped by end-of-life trajectories",
  "uid": "b583f47a-d371-5742-ad20-abe6ecbdea19"
}