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Detection of potential organ donors: 2-year analysis of deaths at a German university hospital.

Abstract：

OBJECTIVE:In 2006, inhouse coordinators were introduced in all hospitals with intensive care units in Baden-Württemberg to improve organ donation. At our university hospital with a neurosurgery and a transplantation unit, we analyzed whether brain death certification and donation requests were always initiated (if possible). MATERIALS AND METHODS:We retrospectively reviewed all 1312 hospital deaths from 2006-2007 by studying medical records and consulting with physicians. The possibility of organ donation was questioned. RESULTS:Donation was requested among 68/702 deaths due to cerebral complications. A request was impossible in 8 cases. Consent for donation was obtained in 29 cases, and it was realized in 24 cases. In 14 cases of resuscitation from shock or cardiac failure, therapy was not continued because of questionable hemodynamic stability. In 17 cases admitted to peripheral wards and 19 to intensive care units death due to cerebral complications occurred within 48 hours, but medical records were not relevant for exclusion criteria for organ donation. CONCLUSIONS:The detection of donors was not acceptable. In patients without a prognosis after resuscitation, further hemodynamic stabilization was frequently omitted, because organ donation had not been considered. In cases of donation requests the refusal rate was high. We initiated specific training.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Petersen P,Fischer-Fröhlich CL,Königsrainer A,Lauchart W

doi

10.1016/j.transproceed.2009.06.138

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

2053-4

issue

6

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(09)00873-2

journal_volume

41

pub_type

杂志文章,多中心研究

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