Loss of Potential Donors Due to Hemodynamic Maintenance
| Autor: | João Luis Erbs Pessoa, Janine Schirmer, Alessandra Duarte Santiago, Thalyta Larissa Ockner Silva, Letícia Sandre Vendrame Saes, Bartira de Aguiar Roza, Pamela da Silva Bento |
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| Rok vydání: | 2020 |
| Předmět: |
Brain Death
medicine.medical_specialty Emergency rooms Tissue and Organ Procurement Critical Care Waiting Lists Transplants Hemodynamics Context (language use) Donor Selection Intensive care medicine Humans Organ donation Intensive care medicine Retrospective Studies Brain dead Transplantation business.industry Data Collection Organ Transplantation Tissue Donors Oxygen Intensive Care Units Organ procurement Tissue and Organ Harvesting Surgery Hypotension Emergency Service Hospital business Hemodynamic instability |
| Zdroj: | Transplantation Proceedings. 52:1226-1230 |
| ISSN: | 0041-1345 |
| DOI: | 10.1016/j.transproceed.2020.02.020 |
| Popis: | Background Statistics indicate low utilization of potential donors, where only about one-third are converted into actual donors. In this context, it is plausible to argue that many potential donors are not hemodynamically stable for harvesting multiple organs since the procedures for maintaining parameters of stability may not be a priority in all critical care units in the country. Thus, it is necessary to identify losses of potential donors due to hemodynamic maintenance since reversing this situation enable minimizing mortality on waiting lists. Methods This was a retrospective quantitative study, based on information sent to Notification, Organ Procurement, and Distribution Centers by reporting hospitals in the state of Sao Paulo, using the Death Information Form regarding the specifics of each death registered in their intensive care units and emergency rooms. Results Hemodynamic instability contributed to a loss of 537 potential donors, corresponding to 61.9% of failures to obtain potentially transplantable organs. Conclusion Of the 33,175 cases of death reported, 867 fulfilled the criteria to be possible and potential donors (ie, patients diagnosed with brain death). Among these cases, 38.1% fulfilled Criterion 3 (ie, they were hemodynamically stable and in ideal organ donation condition). Therefore, this study concludes that losses due to maintenance occurred in 537 brain dead patients. This finding highlights the importance of investing in the development of competencies of professionals who work in critical care units to increase the number of multiple organ and tissue donors and reduce waiting lists. |
| Databáze: | OpenAIRE |
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