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Título
Examination of the Brain-Dead Organ Donor Management Process at a Spanish Hospital
Autor
Facultad/Centro
Área de conocimiento
Título de la revista
International Journal of Environmental Research and Public Health
Número de la revista
10
Cita Bibliográfica
Sánchez-Vallejo, A., Gómez-Salgado, J., Fernández-Martínez, M. N., & Fernández-García, D. (2018). Examination of the brain-dead organ donor management process at a Spanish hospital. International Journal of Environmental Research and Public Health, 15(10). https://doi.org/10.3390/IJERPH15102173
Editorial
MDPI
Fecha
2018
Resumen
[EN] 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.
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