Effect of Active and Early Possible Organ and Tissue Donor Detection in the Emergency Room in a University Hospital

Budoy, Daniel; Rodríguez‐Villar, C.; Pena, David Puente; Vizcaino, F. Perez; Saavedra, Santi Mercader; Bohils, Marc; Quijada, M.J. Lopera; Cruz, J.M.; Paredes-Zapata, David; Ruíz, Ángel; Roque, Rebeca; García, Xavier; Bartolomé, R Adalia

doi:10.1016/j.transproceed.2019.08.022

Cited by 3 publications

(2 citation statements)

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“…Our data demonstrate that although ICU-admitted patients remain the primary source of referrals and actual donors, identification of possible donors in other units in the hospital is an effective strategy to expand the donor pool. Other studies have shown that though the ED is a good source of referrals and actual donors, there are still patients who are missed due to the logistical complications and fast pace of the treating environment [6,21]. Future research is needed to better understand how to prevent these referrals from being missed.…”

Section: Discussionmentioning

confidence: 99%

“…Still, several studies have shown that many possible organ donors pass through the emergency department (ED), die outside of the ICU, and are never considered as possible organ donors [4][5][6][7]. In 2016, the Spanish Organizaci on Nacional de Trasplantes (ONT) collaborated with the Spanish Society of Emergency Medicine to increase identification of possible organ in the ED [5].…”

Section: Introductionmentioning

confidence: 99%

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Comparing demographics of organ donor referrals from the intensive care unit and outside units

et al. 2021

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The Spanish organ donation system is a world leader in organ recovery. One of Spain's strategies is the identification of organ donor referrals outside of the intensive care unit (ICU) for intensive care to facilitate organ donation (ICOD). There are limited data comparing the profiles of ICU-based and non-ICU ICOD referrals. This single-center retrospective chart review analyzed organ donor referrals of ICU and non-ICU patients to better understand the demographic and clinical differences between cohorts. The primary outcome was to understand if organ donation conversion rates were similar between ICU and non-ICU referrals. We collected data from 745 organ donor referral candidates, 235 (32%) of whom entered ICOD protocols. Out of this cohort, 144 (61%) became actual organ donors, 37 of whom (26%) were referred from non-ICU units. The ICU had the highest organ donor conversion rate (66% of ICU ICOD patients became actual organ donors) whereas non-ICU referrals had a 51% conversion rate. Non-ICU unit donors contributed to 21% and 26% of all kidney and liver donations, respectively. Though organ referral candidates from non-ICU units contribute to a small proportion of actual donors, their donated organs are important to sustaining organ donation and transplant activity.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%