Organ Donation in an Aging Population: The Experience of the Last 8 Years in Galicia
| Autor: | A. Varela Franco, M. Ojea Cendón, S. Leal Ruiloba, J. Sánchez Ibáñez, A. Fernández García, I. Álvarez Diéguez, E. Bouzas Caamaño, A. Mariño Rozados, M. Álvarez Vázquez |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Population ageing Tissue and Organ Procurement Population Donor age Cause of Death Humans Medicine Organ donation education Aged Retrospective Studies Cause of death Transplantation education.field_of_study business.industry Middle Aged Kidney Transplantation Liver Transplantation Surgery Stroke Spain Donation Transplanted Organs Heart Transplantation business Lung Transplantation Demography |
| Zdroj: | Transplantation Proceedings. 41:2050-2052 |
| ISSN: | 0041-1345 |
| DOI: | 10.1016/j.transproceed.2009.05.027 |
| Popis: | Background Mean organ donor age has increased in recent years, conditioned by causes of death and population profile. We analyzed organ donation in Galicia during the last 8 years. Materials and Methods We analyzed donors in Galicia between 2000 and 2007, studying age, cause of death, donation effectiveness, and organs transplanted per donor. Results Donation rates fluctuated between 29 and 35 donors per million population (pmp) during the study period. Mean donor age increased from 51.6 years (Spain, 47.1 years) in 2000 to 63.3 years (Spain, 53.4 years) in 2007. Donors of 75 years or older increased from 7.5% to 27.2%. Cerebrovascular accident (CVA) as cause of death rose from 57% in 2000 to 75.3% in 2007. The variations in the proportions of organs transplanted between 2000 and 2007 were: kidney, 68.8% to 53.7%; liver, 86% to 88.9%; heart, 33.5% to 9.9%; and lung, 10.8% to 9.9%. Valid transplanted organs per donor decreased from 2.8 to 2.2, and effective donors from 93.5% (Spain, 90.3%) to 92.6% (Spain, 87.8%) with a mean of 94%. Conclusions The population in Galicia has aged considerably and is widely dispersed. Despite the increased mean donor age, the percentage of effective donors has not diminished and donor rates have remained stable. This reflects the extremely conscientious attitude of transplant coordinators and the high degree of activity of transplant teams in Galicia. |
| Databáze: | OpenAIRE |
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