Profile of effective donors from organ and tissue procurement services

Rodrigues, Suzana B.; Neto, Jose Ben Hur De Escobar Ferraz; Sardinha, Luiz Antônio da Costa; Araújo, Sebastião; Zambelli, Hélder; Boin, I.F.S.F.; Athayde, Maria Valéria de Omena; Montone, Eliete Bombarda Bachega; Panunto, Marcia Raquel

doi:10.5935/0103-507x.20140004

Cited by 17 publications

(16 citation statements)

References 21 publications

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“…(12) It is fundamental to optimize this time and implement actions to maintain the patient's physiological stability, thereby increasing the number of organ donors and the viability of potentially transplantable organs. (13) In some countries, the eligible donor is kept in cardiopulmonary bypass, which preserves the organs after CPA and guarantees rates of donation of up to 100%. However, this practice is not widely disseminated due to the controversial ethical question and the absence of guidelines and legislation for these cases.…”

Section: Discussionmentioning

confidence: 99%

Efetividade do processo de doação de órgãos para transplantes

et al. 2017

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Objective: to verify the effectiveness of the organ donation process in the State of Paraná. Methods: Cross-sectional study carried out with data provided by the Department of Transplantation of the State of Paraná referred to the organ donation process, from 2011 to 2016. Of the 3,872 notifications of potential donors with brain death, 2,600 were included in this study since they were eligible organ donors. The outcome of the protocols and variables related to eligible donors, notifying centers and notifications were evaluated. Data were analyzed descriptively by absolute and relative frequencies, and odds ratio was calculated through the Wald Chisquare test, with p<0.05 considered as statistically significant. Results: Out of the 2,600 eligible donors, 1,267 (48.7%) became effective organ donors. The main obstacles of the process were cardiopulmonary arrest, sepsis and family refusal. The odds of donation were significantly higher in the individuals younger than 60 years old (p<0.001), male (p=0.001) and in the East and West Macro-regions of the State (p<0.001). The percentage of organ donations increased from 38.8% to 66.5% in the period studied. Conclusion: The state of Parana presented a significant increase in the number of notifications and organ donations in the last six years. The weaknesses identified in the process refer to clinical and cultural issues, which indicate the need for interventions to train health professionals in the identification and maintenance of the potential donor, as well as in raising awareness of the importance of the consent to donation. ResumoObjetivo: Verificar a efetividade do processo de doação de órgãos para transplantes no Estado do Paraná. Métodos: Estudo transversal realizado com dados disponibilizados pelo Sistema Estadual de Transplantes do Paraná referentes ao processo de doação de órgãos, no período de 2011 a 2016. Das 3.872 notificações de potenciais doadores em morte encefálica, 2.600 foram incluídas neste estudo por se constituírem em doadores elegíveis de órgãos. Avaliou-se os desfechos dos protocolos e variáveis relacionadas aos doadores elegíveis, aos centros notificantes e às notificações. Os dados foram analisados descritivamente por frequências absolutas e relativas, e calculou-se odds ratio verificando-se a associação pelo teste de Qui-Quadrado de Wald, em que considerou-se p<0,05 como significância estatística. Resultados: Entre os 2.600 doadores elegíveis, 1.267 (48,7%) tornaram-se doadores efetivos de órgãos. Como principais obstáculos do processo destacaram-se a parada cardiorrespiratória, a sepse e a recusa familiar. As chances de efetivação da doação foram significativamente maiores nos indivíduos com menos de 60 anos (p<0,001), do sexo masculino (p=0,001) e notificados pelas Macrorregionais Leste e Oeste do Estado (p<0,001). O percentual de doações de órgãos aumentou de 38,8% para 66,5% no período estudado. Conclusão: O Paraná apresentou crescimento expressivo no número de notificações e doações de órgãos nos últimos seis anos. As fragilidad...

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Section: Discussionmentioning

confidence: 99%

Efetividade do processo de doação de órgãos para transplantes

et al. 2017

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“…One study published in 2013 identified a change in the profile of EDs and found that the leading cause of BD was stroke (55%) and that the second main cause was TBI (35%). ( 8 )…”

Section: Discussionmentioning

confidence: 99%

Organ donation: the reality of an intensive care unit in Portugal

Eira¹,

Barros²,

Albuquerque³

2018

Revista Brasileira De Terapia Intensiva

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ObjectiveTo clinically and demographically characterize potential organ donors admitted to a general intensive care unit and analyze data on donated organs.MethodsThis retrospective study was conducted from 2010 to 2015 and analyzed demographic and clinical variables and the number of harvested organs and tissues.ResultsA total of 92 potential organ donors were identified, of whom eight were non-effective donors and 84 were effective donors (59.5% were expanded criteria donors). The mean age of the potential donors was 60.7 years, and the majority were men. Hemorrhagic stroke accounted for 55.4% of brain deaths. The most common blood type among the donors was A Rh+ (43.5%), and the most common comorbidity was arterial hypertension (43.3%). The most frequently collected organs were the kidneys (84.5%) and liver (66.7%). The average number of organs harvested per donor was 2.8, and this ratio was smaller for donors with expanded criteria compared to other donors.ConclusionIn most cases, potential organ donors died of brain death, were older than middle age, were male and were victims of a hemorrhagic stroke. The majority of the donors were expanded criteria donors and donated an average of two to three organs. The organs donated most frequently were the kidneys and liver.

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“…Early recognition of pathophysiological changes and immediate treatment make it possible to minimize the losses of potential donors due to a lack of poor clinical conditions. 14,15,17,[23][24][25]…”

Section: Nursing Care Centered On the Operationalization Of The Me Prmentioning

confidence: 99%

“…Therefore, the knowledge of the changes facilitates the health team's management to be carried out with the PD and to prevent such impacts to guarantee the quality of the maintenance of the organs and tissues for transplantation. 18,24 In studies, it was observed that the minimum essential aspects for the maintenance of the potential donor are: to maintain the patient's body temperature in the PD with temperature>35°C. Ideally between 36°C and 37.5°C.…”

Section: Nursing Care In Maintaining the Potential Donor Organmentioning

confidence: 99%

Nursing assistance in encephal death protocol

Riegel¹

2018

NCOAJ

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Introduction: The nurse's role in assisting the potential organ donor is essential throughout the process of organ donation and confirmation, thus becoming essential knowledge about this subject. Objective: to identify priority nursing care in the maintenance of organ donors and in this direction to bring to reflection the importance of nurses' work in ME protocol. Method: This is a bibliographical review of the literature. Scientific articles were searched in the Scielo databases between July and August 2017. Results: 110 scientific articles were found that approached the chosen theme, of which 14 articles were selected. Based on the analysis performed in this research, two major categories emerged: Nursing care centered on the operationalization of the ME Protocol and family approach and Nursing Care in the maintenance of the organ donor potential. Conclusion: during this process it was possible to evidence the care related to the whole process of finding, maintaining and donating organs for transplants. In order to enable strategies to optimize the procurement of organs and tissues for transplantation.

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Profile of effective donors from organ and tissue procurement services

Cited by 17 publications

References 21 publications

Efetividade do processo de doação de órgãos para transplantes

Efetividade do processo de doação de órgãos para transplantes

Organ donation: the reality of an intensive care unit in Portugal

Nursing assistance in encephal death protocol

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