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Can Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performance

2012-04Journal article Open access
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dc.contributor.authorDomingos, M
dc.contributor.authorGouveia, M
dc.contributor.authorNolasco, F
dc.contributor.authorPereira, J
dc.date.accessioned2019-08-22T12:19:38Z
dc.date.available2019-08-22T12:19:38Z
dc.date.issued2012-04
dc.description.abstractBACKGROUND: 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Public Health. 2012 Apr;22(2):290-4.pt_PT
dc.identifier.doi10.1093/eurpub/ckr003pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3299
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford University Presspt_PT
dc.subjectAdultpt_PT
dc.subjectAgedpt_PT
dc.subjectCause of Deathpt_PT
dc.subjectDiagnosis-Related Groupspt_PT
dc.subjectFemalept_PT
dc.subjectHospital Mortalitypt_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectPortugalpt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectTissue Donorspt_PT
dc.subjectTissue and Organ Procurementpt_PT
dc.subjectKidney Transplantationpt_PT
dc.subjectHCC NEFpt_PT
dc.titleCan Kidney Deceased Donation Systems Be Optimized? A Retrospective Assessment of a Country Performancept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage294pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage290pt_PT
oaire.citation.titleEuropean Journal of Public Healthpt_PT
oaire.citation.volume22pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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