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Related Experiment Videos

Improving donor identification with the Donor Action programme.

Maria Rosa Pugliese1, Daniela Degli Esposti, Ada Dormi

  • 1Transplant Reference Centre, Emilia Romagna Region, Sant' Orsola Hospital, Clinica Chirurgica 2, Via Massarenti 9, 40138 Bologna, Italy. mr.pugliese@libero.it

Transplant International : Official Journal of the European Society for Organ Transplantation
|January 25, 2003
PubMed
Summary

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The Donor Action programme improved brain death diagnoses in intensive care units by enhancing patient assessment. This quality control initiative significantly boosted the identification of potential organ donors, aiding organ procurement efforts.

Area of Science:

  • Medical Science
  • Transplantation Medicine
  • Intensive Care Medicine

Background:

  • Rising demand for transplant organs necessitates improved organ procurement.
  • Organ donors are primarily identified in intensive care units (ICUs).
  • The Donor Action programme targets critical areas within ICUs to enhance early organ donation stages.

Purpose of the Study:

  • To analyze the identification of potential organ donors.
  • To evaluate the impact of the Donor Action programme on brain death diagnoses.
  • To assess organ donor identification in 14 ICUs in the Emilia-Romagna region from 1998-2000.

Main Methods:

  • Chart revision of deceased patients in 14 ICUs over 30 months.
  • Assessment of all deaths and patients with severe brain insult (Glasgow Coma Scale score = 3/15).

Related Experiment Videos

  • Evaluation of brain death diagnoses and potential donor referrals by transplant coordinators and a Transplant Reference Centre professional.

    • Main Results:

    • Of 3,056 deaths, 1,248 had severe brain damage (GCS=3).
    • Brain death diagnosis (BD) was performed in 509 patients (40.8%).
    • A significant increase in BDs was observed over time (30.5% to 53.0% of GCS=3 patients), despite stable or decreasing overall deaths and GCS=3 cases.

    Conclusions:

    • The Donor Action programme significantly improved brain death diagnoses in ICUs.
    • Enhanced patient assessment within ICUs is crucial for organ donor identification.
    • Donor Action serves as an effective quality control program for improving the initial stage of organ procurement.