Quality assessment and outcomes related to deceased organ donation in a tertiary care hospital in India an observational study

Seth, AvnishKumar; Singh, Twinkle

doi:10.4103/ijot.ijot_132_21

Cited by 1 publication

(2 citation statements)

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“…Of 1277 deaths with these ICD-10 codes, hospitals with an organ donation quality system had significantly more brain deaths than hospitals without such a system (12.04% vs 3.91%). Each hospital should perform systematic analysis of donation potential, with careful assessment of every death from a selected ICD-10 for the possibility of organ donation [1,17]. An up-to-date registry of medical records of all comatose patients (GCS £8 points) increases the number of identified brain-dead patients [10,17].…”

Section: Discussionmentioning

confidence: 99%

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Effect of the Organ Donation Quality System on Donation Activity of Warsaw Hospitals

Karpeta,

Godlewska,

Małkowski

et al. 2024

Ann Transplant

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Background:Like many other countries, Poland faces a shortage of transplantable organs despite implementing strategies to develop donation programs. Increasing the effectiveness of deceased organ donation programs requires the implementation of protocols and quality standards for the entire process. The aim of this study was to assess the organ donation potential in Warsaw hospitals (with and without implemented donation procedures) in the years 2017-2018, before the COVID-19 pandemic affected donation activity. The obtained results were compared with quality indicators established in the ODEQUS project and the European Commission project "Improving Knowledge and Practices in Organ Donation" (DOPKI). Material/Methods:Retrospective analysis was performed of hospitalization and death causes (including deaths in the brain death mechanism) in the hospitals and intensive care units in 2017-2018. We divided 15 Warsaw hospitals into 2 groups: those with implemented quality programs for organ donation (n=4) and those without such programs (n=11). Results:Hospitals with procedures obtained significantly higher values than hospitals without procedures, but were lower than the values in DOPKI and ODEQUS. The success rate of the organ donation process after brain death recognition was comparable in all groups. The conversion rate to actual donors was 73% in hospitals with procedures compared to 68% in hospitals without procedures, significantly higher than in the 42% reported in the DOPKI project. Conclusions:Low numbers of brain death declarations in Warsaw hospitals result from low recognition of deaths in the brain death mechanism. Implementing procedures at each hospital level will enable identification of critical points and comparison of solution outcomes.

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Section: Discussionmentioning

confidence: 99%

“…Each hospital should perform systematic analysis of donation potential, with careful assessment of every death from a selected ICD-10 for the possibility of organ donation [1,17]. An up-to-date registry of medical records of all comatose patients (GCS £8 points) increases the number of identified brain-dead patients [10,17].…”

Section: Discussionmentioning

confidence: 99%