Elsevier

Transplantation Proceedings

Volume 47, Issue 9, November 2015, Pages 2570-2571
Transplantation Proceedings

9th Congress of the Andalucian Transplantation Society
Organ donation
Donation in Private Clinics as an Alternate Strategy to Increase the Pool of Donors

https://doi.org/10.1016/j.transproceed.2015.09.051Get rights and content

Abstract

In recent years, the donation process is being characterized by a decreased number of brain deaths and a logistical shift toward cardiac-death donation, both controlled and uncontrolled, in Spain. As we know, cardiac-death donors produce fewer usable organs than brain-death donors. Therefore, many of the Spanish transplant coordinators are working to find new strategies that bring efficiency to donor detection. Since 2012, at the Virgen del Rocío University Hospital, Seville, we have been trying to obtain more donors with the use of a huge logistical and administrative effort of all the elements that make up the donation and transplantation teams, because we have sought to get organ donors in all private clinics in the city. The result of this effort has succeeded in increasing the donation rate in Seville to 3 donors and >6 usable organs per year. This paper also analyzes the characteristics of these donors, comparing our results with our community and the country. The conclusion of all this, we believe, encourages persevering in those efforts and endorses a strategy that could be applied in other parts of the world with good results in terms of transplanted organs.

Section snippets

Methods

A prospective observational study was carried out at the Virgen del Rocío University Hospital from January 2012 to March 2015. The study was approved by the local Ethics and Research Committee. We included all the BD donors obtained from private centers in Seville. The following variables were collected: age, sex, blood group, cause of death, used organs, and causes for unused organs.

For the descriptive analysis, analytic variables were represented with the use of absolute and relative

Results

Eleven BD donors were included in our study: 8 of them were male (72.7%) and 3 female (27.3%). The mean age was 68.1 years. Blood group A was more frequent than others (45.5%). The cause of BD was intracerebral hemorrhage (ICH) in 9 patients (81.8%) and brain anoxia in 2 (18.2%). After organ evaluation, 17 of them were used (11 kidneys, 4 livers, 1 lung, and 1 heart), and 21 were not. Thus, the organs/donor rate was 1.54. Most organs were rejected owing to inadequate result of biopsy study

Discussion

ONT is continuously developing new strategies to optimize the donation process and to obtain more useful organs [4]. In this way, transplant coordinators are working to follow the lines established by ONT and create new tools or procedures toward the objective of increasing the transplantation rates [4]. Thus, we expanded our screening tools to private medicine, because we think that is an unknown source of potential donors that do not have the right to become donors because they are in private

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