Brain Death and Organ Donation in a City Hospital

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Abstract

Introduction

Though organ donation rates have been increasing over the years. Lack of organ donation forms remains the most important problem in transplantation. By changing strategies and offering simple solutions Cekirge City Hospital, Bursa achieved 22 cadaveric donor rate per one million population in 2016; this rate is 20,3 in England, 21,3 in Norway, 16,8 in Netherland and 10,9 in Germany [1].

Methods

After approval is obtained from Ethics Committee of Bursa Yuksek Ihtisas Training&Education Hospital, 137 BD cases were evaluated between 01.01.2011 - 31.12.2016 retrospectively. Age, sex, cause of BD, blood type and donated organ was assested.

Results

Total number of BD is 137, 82 is male, 55 is female, mean age of the patients was 54,2 ± 17,1 years. A Rh (+) is the most common blood type in both genders. In two genders intracerebral hemorrhage is the most common cause of BD(n = 39), in female group cerebrovascular ischemia, in male group traumatic subarachnoid hemorrhage is the second most common cause of BD. In 2011 3 of 8 BD cases, in 2012 5 of 12 BD cases, in 2013 3 of 13 cases, in 2014 13 of 25 cases, in 2015 16 of 29 cases, in 2016 21 of 50 cases became a donor.61 cases became a donor in 6 years. Liver and kidney are the most donated organs respectively. Heart is the third harvested organ.

Results

As a result, in this study, 61 of 137 BD cases became donor. Majority of patients diagnosed with BD are male. Deceased organ donation rates have increased by years. In 2011 3 of 8 BD cases became a donor, in 2016 21 of 49 cases became a donor but as numbers have been increasing, the percentage does not increase. We suggest reason for this situation is well trained and educated physicians diagnose more BD cases and have more desire to treat end organ failure patients, but desire in public to become an organ donor does not increase as hoped.

Conclusion

End-stage organ failure patients have been increasing day by day. In 2014 transplantation rates were less than 10% of global needs. Governments have been paying more attention to this situation. With well trained, educated and dedicated physicians and with the growing experience, donation and transplantation rates can increase. With the education of the public, donation rates can increase faster; at this point, goverments and international organisations should work harder on this problem.

Conclusion

Reference:

Conclusion

1. U.S. Department of Health& Human Services, https://optn.transplant.hrsa.gov.

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