Letter to the Editor
Intensive Care Medicine: The cornerstone of the donation process in Spain
Medicina intensiva: la columna vertebral del proceso de donación en España
Read
3147
Timeswas read the article
1455
Total PDF
1692
Total HTML
Share statistics
array:23 [ "pii" => "S217357271930236X" "issn" => "21735727" "doi" => "10.1016/j.medine.2019.04.008" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1345" "copyrightAnyo" => "2019" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2020;44:61" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3 "formatos" => array:2 [ "HTML" => 1 "PDF" => 2 ] ] "Traduccion" => array:1 [ "es" => array:18 [ "pii" => "S0210569119301299" "issn" => "02105691" "doi" => "10.1016/j.medin.2019.04.004" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1345" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2020;44:61" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 59 "formatos" => array:2 [ "HTML" => 40 "PDF" => 19 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>" "titulo" => "Medicina intensiva: la columna vertebral del proceso de donación en España" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "61" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intensive Care Medicine: The cornerstone of the donation process in Spain" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Domingo Daga Ruiz, Juan José Egea Guerrero" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Domingo" "apellidos" => "Daga Ruiz" ] 1 => array:2 [ "nombre" => "Juan José" "apellidos" => "Egea Guerrero" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S217357271930236X" "doi" => "10.1016/j.medine.2019.04.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357271930236X?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569119301299?idApp=WMIE" "url" => "/02105691/0000004400000001/v2_202001222303/S0210569119301299/v2_202001222303/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173572719302322" "issn" => "21735727" "doi" => "10.1016/j.medine.2019.07.004" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1386" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2020;44:62-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Intensivist or transplants coordinator: It makes no difference" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "62" "paginaFinal" => "63" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Intensivista o coordinador de trasplantes: tanto monta monta tanto" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2364 "Ancho" => 3167 "Tamanyo" => 483117 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Rates of interannual donation based on the type of donor. Huelva. Spain. 2013–2018.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Martin-Villen, F. Cabeza-Cabeza, J.J. Egea-Guerrero" "autores" => array:3 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Martin-Villen" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Cabeza-Cabeza" ] 2 => array:2 [ "nombre" => "J.J." "apellidos" => "Egea-Guerrero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569119302025" "doi" => "10.1016/j.medin.2019.07.016" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569119302025?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719302322?idApp=WMIE" "url" => "/21735727/0000004400000001/v2_202001222215/S2173572719302322/v2_202001222215/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2173572719302061" "issn" => "21735727" "doi" => "10.1016/j.medine.2018.11.003" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1299" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2020;44:60" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1 "HTML" => 1 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Reply to “The right to become an organ and tissue donor at the end of life of critically ill patient”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "60" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta a «El derecho a ser donante de órganos y tejidos al final de la vida del paciente crítico»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Á. Estella" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Á." "apellidos" => "Estella" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569118303346" "doi" => "10.1016/j.medin.2018.11.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118303346?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719302061?idApp=WMIE" "url" => "/21735727/0000004400000001/v2_202001222215/S2173572719302061/v2_202001222215/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Intensive Care Medicine: The cornerstone of the donation process in Spain" "tieneTextoCompleto" => true "saludo" => "To the Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "61" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Domingo Daga Ruiz, Juan José Egea Guerrero" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Domingo" "apellidos" => "Daga Ruiz" "email" => array:1 [ 0 => "domingo.daga.sspa@jundadeandalucia.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Juan José" "apellidos" => "Egea Guerrero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Coordinador Sectorial de Trasplantes de Málaga-Almería-Ceuta-Melilla, Hospitales Universitarios Regional y Virgen de la Victoria, Málaga, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Coordinador Autonómico de Trasplantes en Andalucía, Hospital Virgen del Rocío, Sevilla, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Medicina intensiva: la columna vertebral del proceso de donación en España" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The birth of intensive care units (ICU) in mid-20<span class="elsevierStyleSup">th</span> century led to the development of medical technology that made life support possible. The arrival of mechanical ventilation in the healthcare setting facilitates the development of a medical specialty—intensive medicine—that assists severe patients requiring organ support to stay alive in specific units (ICUs). Respiratory support brought a new clinical situation—brain dead (BD)—that expanded the processes of donation and transplants in the developing world. BD is considered the «ideal donor».<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Thus, there is no need to mention the key role played by intensivists in the entire donation-transplant process. Actually, Spain leads the world ranking in donation and transplants due to the role played by the intensivist in the so-called «Spanish model».</p><p id="par0015" class="elsevierStylePara elsevierViewall">The expansion of the donation and transplant activity in Spain turned traditional BD donation insufficient as the only existing medical treatment for thousands of patients in the waiting list of different transplant programs in Spain. Therefore, back in 2008 the so-called «Plan 40» was designed to develop new scenarios/models of donation.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Intensive care units oriented towards donation<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> and donation in asystole<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> were two initiatives proposed to improve donation rates in our country.</p><p id="par0020" class="elsevierStylePara elsevierViewall">In the scenarios proposed, intensivists play a key role and are responsible for the overwhelming increase in donation and transplant rates achieved over the last few years in Spain.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Intensivists need to take over tasks associated with this setting as another part of our job and, together with transplant coordinators (today almost 100 % of intensivists), improve clinical practice, training programs, and promote trials for the continuous improvement of the organ-and-tissue donation process.</p><p id="par0030" class="elsevierStylePara elsevierViewall">From SEMICYUC these challenges<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> can be facilitated by supporting, promoting, and training working teams in the development of educational programs for assistant physicians, residents, and nurses at the ICU setting; consensus documents and recommendations to recognize, assess, and accept the strategic value of this specialty and specialists in keeping the Spanish leadership in donation and transplants and putting Spanish healthcare at the forefront of transplant coordination.</p><p id="par0035" class="elsevierStylePara elsevierViewall">In Spain there is a special sensitivity towards donation and transplants. However, the crucial role played by the ICUs and the specialists during this process is still unknown. Therefore, in order to empower this specialty, we should expose our job and role in the process of organ-and-tissue donation. Also, we should assess this activity as a priority within our units and for the future development of our specialty.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">None declared.</p><p id="par0045" class="elsevierStylePara elsevierViewall">The gesture of organ-and-tissue donation shows the best of Spanish society.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:2 [ "identificador" => "xack443453" "titulo" => "Acknowledgements" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Daga Ruiz D, Egea Guerrero JJ. Medicina intensiva: la columna vertebral del proceso de donación en España. Med Intensiva. 2020;44:61.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A definition of irreversible coma. Report of the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "H.K. Beecher" 1 => "R. Adams" 2 => "A.C. Barger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "JAMA." "fecha" => "1968" "volumen" => "205" "numero" => "6" "paginaInicial" => "337" "paginaFinal" => "340" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5694976" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "How Spain Reached 40 Deceased Organ Donors per Million Population" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R. Matesanz" 1 => "B. Domínguez-Gil" 2 => "E. Coll" 3 => "B. Mahíllo" 4 => "R. Marazuela" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Transplant." "fecha" => "2017" "volumen" => "17" "paginaInicial" => "1447" "paginaFinal" => "1454" "itemHostRev" => array:3 [ "pii" => "S1542356513014663" "estado" => "S300" "issn" => "15423565" ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Summary of Spanish recommendations on intensive care to facilitate organ donation" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M.C. Martín-Delgado" 1 => "F. Martínez-Soba" 2 => "N. Masnou" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "Am J Transplant." "fecha" => "2019" "itemHostRev" => array:3 [ "pii" => "S1542356518306116" "estado" => "S300" "issn" => "15423565" ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Donation after circulatory death and its expansion in Spain" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E. Miñambres" 1 => "J.J. Rubio" 2 => "E. Coll" 3 => "B. Domínguez-Gil" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/MOT.0000000000000480" "Revista" => array:7 [ "tituloSerie" => "Curr Opin Organ Transplant." "fecha" => "2018" "volumen" => "23" "paginaInicial" => "120" "paginaFinal" => "129" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29120882" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S1542356514006685" "estado" => "S300" "issn" => "15423565" ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Benefits of the tissue donation process in the intensive care units: a mission of all of us" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A. Álvarez-Márquez" 1 => "J.J. Egea-Guerrero" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medin.2018.09.001" "Revista" => array:6 [ "tituloSerie" => "Med Intensiva." "fecha" => "2019" "volumen" => "43" "paginaInicial" => "129" "paginaFinal" => "130" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30385088" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack443453" "titulo" => "Acknowledgements" "texto" => "<p id="par0050" class="elsevierStylePara elsevierViewall">We wish to thank the thousands of people and families that every year put Spain in the leading position of the donation and transplant ranking worldwide. Without their altruism, generosity, and solidarity this privilege that the Spanish society has had for over 20 years would not be possible.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004400000001/v2_202001222215/S217357271930236X/v2_202001222215/en/main.assets" "Apartado" => array:4 [ "identificador" => "64604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004400000001/v2_202001222215/S217357271930236X/v2_202001222215/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357271930236X?idApp=WMIE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 4 | 6 |
| 2024 October | 52 | 46 | 98 |
| 2024 September | 45 | 29 | 74 |
| 2024 August | 40 | 33 | 73 |
| 2024 July | 53 | 22 | 75 |
| 2024 June | 43 | 37 | 80 |
| 2024 May | 42 | 30 | 72 |
| 2024 April | 30 | 35 | 65 |
| 2024 March | 36 | 20 | 56 |
| 2024 February | 29 | 33 | 62 |
| 2024 January | 37 | 36 | 73 |
| 2023 December | 26 | 35 | 61 |
| 2023 November | 32 | 27 | 59 |
| 2023 October | 22 | 29 | 51 |
| 2023 September | 27 | 32 | 59 |
| 2023 August | 22 | 13 | 35 |
| 2023 July | 24 | 21 | 45 |
| 2023 June | 23 | 16 | 39 |
| 2023 May | 32 | 26 | 58 |
| 2023 April | 22 | 16 | 38 |
| 2023 March | 45 | 25 | 70 |
| 2023 February | 26 | 24 | 50 |
| 2023 January | 17 | 13 | 30 |
| 2022 December | 42 | 30 | 72 |
| 2022 November | 45 | 27 | 72 |
| 2022 October | 43 | 23 | 66 |
| 2022 September | 25 | 31 | 56 |
| 2022 August | 35 | 39 | 74 |
| 2022 July | 21 | 35 | 56 |
| 2022 June | 19 | 19 | 38 |
| 2022 May | 33 | 24 | 57 |
| 2022 April | 22 | 29 | 51 |
| 2022 March | 33 | 46 | 79 |
| 2022 February | 30 | 31 | 61 |
| 2022 January | 23 | 25 | 48 |
| 2021 December | 29 | 31 | 60 |
| 2021 November | 27 | 36 | 63 |
| 2021 October | 42 | 70 | 112 |
| 2021 September | 28 | 30 | 58 |
| 2021 August | 28 | 31 | 59 |
| 2021 July | 15 | 18 | 33 |
| 2021 June | 30 | 12 | 42 |
| 2021 May | 30 | 36 | 66 |
| 2021 April | 75 | 88 | 163 |
| 2021 March | 70 | 19 | 89 |
| 2021 February | 48 | 33 | 81 |
| 2021 January | 34 | 17 | 51 |
| 2020 December | 44 | 16 | 60 |
| 2020 November | 16 | 12 | 28 |
| 2020 October | 14 | 6 | 20 |
| 2020 July | 7 | 10 | 17 |
| 2020 June | 18 | 9 | 27 |
| 2020 May | 20 | 10 | 30 |
| 2020 April | 18 | 8 | 26 |
| 2020 January | 1 | 2 | 3 |
Show all
