Examination of the Brain-Dead Organ Donor Management Process at a Spanish Hospital
| Autor: | Juan Gómez-Salgado, María Nélida Fernández-Martínez, Daniel Fernández-García, Antonio Sánchez-Vallejo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Tissue and Organ Procurement organ donor Health Toxicology and Mutagenesis detection lcsh:Medicine 030230 surgery Article 03 medical and health sciences 0302 clinical medicine medicine Organ donor Humans brain death 030212 general & internal medicine Prospective Studies Asystole Prospective cohort study Donor management Contraindication transplant coordination emergency services Aged Brain dead Aged 80 and over Brain death business.industry lcsh:R Public Health Environmental and Occupational Health Retrospective cohort study Middle Aged medicine.disease Hospitals Tissue Donors Transplant coordination Detection Cross-Sectional Studies Life support Donation Emergency medicine Emergency services Female business |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 15 Issue 10 International Journal of Environmental Research and Public Health, Vol 15, Iss 10, p 2173 (2018) Arias Montano. Repositorio Institucional de la Universidad de Huelva instname |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph15102173 |
| Popis: | The number of donors and organs available has not increased at the same rate as the inclusion of new patients in the waiting lists. The aim of the present study was to analyze the quality of the detection process of potential brain-dead organ donors at the Hospital of Leó n. For this, a cross-sectional prospective study was developed on a retrospective cohort of patients who were admitted or died by catastrophic brain damage with the potential for organs donation. Data were collected for six months using hospital records of admissions and exitus. For the statistical analysis, the free distribution software Epi Info 3.5.4 was employed. A total of 627 patients were studied: 550 were discharged and 77 died as potential donors. Of the potential donors, 65 died in asystole, but 60 of them had an absolute contraindication to donation and 20 died after limitation of life support therapy. Five cases with donor criteria in controlled asystole were detected. The analysis found that the detection process conformed to the regulatory framework stablished by the National Transplant Organization. However, population aging leads to a high rate of absolute contraindications among detected potential donors. The donation capacity of the hospital could therefore be increased with the implementation of a donor protocol in controlled asystole. |
| Databáze: | OpenAIRE |
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