Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performance
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/3299 |
Resumo: | BACKGROUND: The intensive requirement of organs for transplantation generates the need for higher rates of donation. METHODS: Using the national database of diagnosis-related groups for 2006, the global annual 2006 in-hospital mortality of 34 hospitals with organ-retrieval schemes was evaluated. Potential donors were estimated excluding patients aged <1 year or >70 years and presenting International Classification of Diseases, Ninth Revision codes that contraindicated organ donation. RESULTS: We identified 3838 potential donors (12.6% of in-hospital deaths); 46% came from eight hospitals, 80% came from the larger hospitals and 21% from intensive care units (ICU). In hospitals with a neurosurgical department, an office coordinator of procurement and transplantation (OCPT), a transplant centre and co-location of neurosurgical and transplant centre, we identified, respectively, 54, 30, 32 and 30% of all potential donors. The causes of death were 23% cerebrovascular disease, 3% cerebral tumour, 2.6% anoxic lesion and 2.5% head trauma. In the same period, there were 189 effective deceased kidney donors with traumatic diseases as the main cause of death. The mean conversion rate was 4.9% and was associated with demographical and hospital characteristics. Age of potential donors, existence of OCPT or transplant centre, ratio between ICU and hospital acute beds and mortality from labour accidents were predictors of being an effective donor. CONCLUSIONS: Health policies need to maximize the conversion of potential to effective donors and the performance of organ donation systems must be considered as an index of the quality of care. |
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Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country PerformanceAdultAgedCause of DeathDiagnosis-Related GroupsFemaleHospital MortalityHumansMaleMiddle AgedPortugalRetrospective StudiesTissue DonorsTissue and Organ ProcurementKidney TransplantationHCC NEFBACKGROUND: The intensive requirement of organs for transplantation generates the need for higher rates of donation. METHODS: Using the national database of diagnosis-related groups for 2006, the global annual 2006 in-hospital mortality of 34 hospitals with organ-retrieval schemes was evaluated. Potential donors were estimated excluding patients aged <1 year or >70 years and presenting International Classification of Diseases, Ninth Revision codes that contraindicated organ donation. RESULTS: We identified 3838 potential donors (12.6% of in-hospital deaths); 46% came from eight hospitals, 80% came from the larger hospitals and 21% from intensive care units (ICU). In hospitals with a neurosurgical department, an office coordinator of procurement and transplantation (OCPT), a transplant centre and co-location of neurosurgical and transplant centre, we identified, respectively, 54, 30, 32 and 30% of all potential donors. The causes of death were 23% cerebrovascular disease, 3% cerebral tumour, 2.6% anoxic lesion and 2.5% head trauma. In the same period, there were 189 effective deceased kidney donors with traumatic diseases as the main cause of death. The mean conversion rate was 4.9% and was associated with demographical and hospital characteristics. Age of potential donors, existence of OCPT or transplant centre, ratio between ICU and hospital acute beds and mortality from labour accidents were predictors of being an effective donor. CONCLUSIONS: Health policies need to maximize the conversion of potential to effective donors and the performance of organ donation systems must be considered as an index of the quality of care.Oxford University PressRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEDomingos, MGouveia, MNolasco, FPereira, J2019-08-22T12:19:38Z2012-042012-04-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/3299engEur J Public Health. 2012 Apr;22(2):290-4.10.1093/eurpub/ckr003info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:42:17Zoai:repositorio.chlc.min-saude.pt:10400.17/3299Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:20:37.065564Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performance |
title |
Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performance |
spellingShingle |
Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performance Domingos, M Adult Aged Cause of Death Diagnosis-Related Groups Female Hospital Mortality Humans Male Middle Aged Portugal Retrospective Studies Tissue Donors Tissue and Organ Procurement Kidney Transplantation HCC NEF |
title_short |
Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performance |
title_full |
Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performance |
title_fullStr |
Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performance |
title_full_unstemmed |
Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performance |
title_sort |
Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performance |
author |
Domingos, M |
author_facet |
Domingos, M Gouveia, M Nolasco, F Pereira, J |
author_role |
author |
author2 |
Gouveia, M Nolasco, F Pereira, J |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Domingos, M Gouveia, M Nolasco, F Pereira, J |
dc.subject.por.fl_str_mv |
Adult Aged Cause of Death Diagnosis-Related Groups Female Hospital Mortality Humans Male Middle Aged Portugal Retrospective Studies Tissue Donors Tissue and Organ Procurement Kidney Transplantation HCC NEF |
topic |
Adult Aged Cause of Death Diagnosis-Related Groups Female Hospital Mortality Humans Male Middle Aged Portugal Retrospective Studies Tissue Donors Tissue and Organ Procurement Kidney Transplantation HCC NEF |
description |
BACKGROUND: The intensive requirement of organs for transplantation generates the need for higher rates of donation. METHODS: Using the national database of diagnosis-related groups for 2006, the global annual 2006 in-hospital mortality of 34 hospitals with organ-retrieval schemes was evaluated. Potential donors were estimated excluding patients aged <1 year or >70 years and presenting International Classification of Diseases, Ninth Revision codes that contraindicated organ donation. RESULTS: We identified 3838 potential donors (12.6% of in-hospital deaths); 46% came from eight hospitals, 80% came from the larger hospitals and 21% from intensive care units (ICU). In hospitals with a neurosurgical department, an office coordinator of procurement and transplantation (OCPT), a transplant centre and co-location of neurosurgical and transplant centre, we identified, respectively, 54, 30, 32 and 30% of all potential donors. The causes of death were 23% cerebrovascular disease, 3% cerebral tumour, 2.6% anoxic lesion and 2.5% head trauma. In the same period, there were 189 effective deceased kidney donors with traumatic diseases as the main cause of death. The mean conversion rate was 4.9% and was associated with demographical and hospital characteristics. Age of potential donors, existence of OCPT or transplant centre, ratio between ICU and hospital acute beds and mortality from labour accidents were predictors of being an effective donor. CONCLUSIONS: Health policies need to maximize the conversion of potential to effective donors and the performance of organ donation systems must be considered as an index of the quality of care. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-04 2012-04-01T00:00:00Z 2019-08-22T12:19:38Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/3299 |
url |
http://hdl.handle.net/10400.17/3299 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Eur J Public Health. 2012 Apr;22(2):290-4. 10.1093/eurpub/ckr003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Oxford University Press |
publisher.none.fl_str_mv |
Oxford University Press |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131302594609152 |