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Medical-record review of potential donor pool in the Czech Republic suggests a possible increase to more than double the number of donors

Pokorna, E; Vitko, S and Ekberg, Henrik LU (2003) In Transplant International 16(9). p.633-638
Abstract
The objective of this study was the investigation of the maximal potential donor pool and causes of non-realized organ donation. On-site retrospective medical-record review was performed for all cases of patient death (n=1608) occurring in 1999 at 34 (83% of all) intensive care units (ICUs) in the region of the transplant center in Prague, Czech Republic. Two hundred and eighty-eight (18%) patients died with clinical signs of brain death. ICU physicians considered 111 of them as being potential donors at the time; 63 became donors and 48 did not. The remaining 177 patients with clinical signs of brain death were, in retrospect, assessed as being unsuitable (n=105) or suitable (n=72) for donation. The maximal potential donor rate was 55.7... (More)
The objective of this study was the investigation of the maximal potential donor pool and causes of non-realized organ donation. On-site retrospective medical-record review was performed for all cases of patient death (n=1608) occurring in 1999 at 34 (83% of all) intensive care units (ICUs) in the region of the transplant center in Prague, Czech Republic. Two hundred and eighty-eight (18%) patients died with clinical signs of brain death. ICU physicians considered 111 of them as being potential donors at the time; 63 became donors and 48 did not. The remaining 177 patients with clinical signs of brain death were, in retrospect, assessed as being unsuitable (n=105) or suitable (n=72) for donation. The maximal potential donor rate was 55.7 per million population (pmp), with a more conservative estimate of 37.4 pmp. The actual donor rate was 18.1 pmp. For the maximal level to be approached, further educational efforts are warranted, targeting ICU physicians and concentrating on the identification of potential donors. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
maximal donor pool, donor identification, donor rate
in
Transplant International
volume
16
issue
9
pages
633 - 638
publisher
Springer
external identifiers
  • wos:000185346900002
  • pmid:12721783
  • scopus:0141483329
ISSN
1432-2277
DOI
10.1007/s00147-003-0564-8
language
English
LU publication?
yes
id
6f34bb18-baf1-4d78-ace9-a803083c393e (old id 899977)
date added to LUP
2008-01-15 10:35:55
date last changed
2018-05-29 10:57:33
@article{6f34bb18-baf1-4d78-ace9-a803083c393e,
  abstract     = {The objective of this study was the investigation of the maximal potential donor pool and causes of non-realized organ donation. On-site retrospective medical-record review was performed for all cases of patient death (n=1608) occurring in 1999 at 34 (83% of all) intensive care units (ICUs) in the region of the transplant center in Prague, Czech Republic. Two hundred and eighty-eight (18%) patients died with clinical signs of brain death. ICU physicians considered 111 of them as being potential donors at the time; 63 became donors and 48 did not. The remaining 177 patients with clinical signs of brain death were, in retrospect, assessed as being unsuitable (n=105) or suitable (n=72) for donation. The maximal potential donor rate was 55.7 per million population (pmp), with a more conservative estimate of 37.4 pmp. The actual donor rate was 18.1 pmp. For the maximal level to be approached, further educational efforts are warranted, targeting ICU physicians and concentrating on the identification of potential donors.},
  author       = {Pokorna, E and Vitko, S and Ekberg, Henrik},
  issn         = {1432-2277},
  keyword      = {maximal donor pool,donor identification,donor rate},
  language     = {eng},
  number       = {9},
  pages        = {633--638},
  publisher    = {Springer},
  series       = {Transplant International},
  title        = {Medical-record review of potential donor pool in the Czech Republic suggests a possible increase to more than double the number of donors},
  url          = {http://dx.doi.org/10.1007/s00147-003-0564-8},
  volume       = {16},
  year         = {2003},
}