Abstract
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 León. 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.
Highlights
Organ transplantation is a therapy that restores the health of patients and enables them to return to their daily activities [1]
In 2015, more than 80% of donors in Spain died by brain death (BD), with a profile of males with a mean of 60 years old who died after a stroke
CAULE had an average of 827 beds; 44 of them had the ability to provide continuous ventilatory support to critical patients
Summary
Organ transplantation is a therapy that restores the health of patients and enables them to return to their daily activities [1]. It has been found that organ transplantation is a highly efficient procedure from a cost-effective point of view, which is positive for the health system [2]. The social and economic benefit associated with the continuous improvement in postimplant survival results has led to an increase in transplant indication as a therapeutic alternative of first choice for a large number of pathologies [1,3,4,5]. The number of donors and the organs available has not increased at the same rate as the inclusion of new patients in the waiting lists [3,4,6]. Public Health 2018, 15, 2173; doi:10.3390/ijerph15102173 www.mdpi.com/journal/ijerph
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