Implementation of a neonatal donation protocol in the neonatal intensive care unit: A single-center experience.

Autor: Fernández-Fructuoso JR; Neonatology Unit, Hospital General Universitario Santa Lucía, Cartagena, Spain., Gil-Sánchez FJ; Intensive Care Unit, Donor Coordination Unit, Hospital General Universitario Santa Lucía, Cartagena, Spain., Sáez-Miravete S; Intensive Care Unit, Donor Coordination Unit, Hospital General Universitario Santa Lucía, Cartagena, Spain., Pina-Molina JM; Pediatric Emergency Department, Hospital General Universitario Santa Lucía, Cartagena, Spain., Fuentes-Gutiérrez C; Neonatology Unit, Hospital General Universitario Santa Lucía, Cartagena, Spain., Lloreda-García JM; Neonatology Unit, Hospital General Universitario Santa Lucía, Cartagena, Spain., Olmo-Sánchez M; Neonatology Unit, Hospital General Universitario Santa Lucía, Cartagena, Spain., Mañas-Uxo MI; Neonatology Unit, Hospital General Universitario Santa Lucía, Cartagena, Spain., García-González A; Neonatology Unit, Hospital General Universitario Santa Lucía, Cartagena, Spain., Leante-Castellanos JL; Neonatology Unit, Hospital General Universitario Santa Lucía, Cartagena, Spain.
Jazyk: angličtina
Zdroj: Pediatric transplantation [Pediatr Transplant] 2022 Dec; Vol. 26 (8), pp. e14403. Date of Electronic Publication: 2022 Sep 27.
DOI: 10.1111/petr.14403
Abstrakt: Background: Lack of specific protocols for neonatal donation contributes to the rarity of neonatal donors. In this study, we evaluate the impact of the implementation of a neonatal donation protocol in our NICU.
Methods: In this single-center study, we conducted a retrospective chart review of neonatal deaths in our NICU from January 2013 to January 2022. The study was divided into two periods: before and after the implementation of a neonatal donation protocol. The referral rates of potential neonatal donors to the OPO in the two periods were compared using the chi-square test. A p value < .05 was considered statistically significant.
Results: Sixty-four infants were reviewed. Seven (10.9%) met the inclusion criteria for potential neonatal donors after DCC. The referral rate of potential neonatal donors increased from 2.5% to 16.7% after the implementation of this protocol (p = .041), and one infant (4.1%) became an effective heart-valve donor.
Conclusion: The implementation of a local neonatal donation protocol could have contributed to increase the referral rate of potential neonatal donors in our NICU. Following the implementation of a local neonatal donation protocol, we were able to perform a heart-valve donation for the first time in our unit.
(© 2022 Wiley Periodicals LLC.)
Databáze: MEDLINE
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