Document Detail


Potential for organ donation in Victoria: an audit of hospital deaths.
MedLine Citation:
PMID:  16948619     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the potential for organ donation in 12 Victorian hospitals. DESIGN AND SETTING: Prospective audit of all deaths in 12 major public hospitals in the state of Victoria between January 2002 and October 2004. MAIN OUTCOME MEASURES: Number of organ donors and potential organ donors (patients with brain death or likely to progress to brain death within 24 hours if supportive treatment continued), requests for organ donation and consents. Unrealised potential donors (organ donation not requested) were categorised by an independent panel of intensivists as category A (brain death formally diagnosed); B (brain death not formally diagnosed but criteria likely to be fulfilled); and C (potential to progress to brain death within 24 hours). RESULTS: There were 17,230 deaths, 280 potential organ donors and 220 requests for organ donation. The 60 unrealised potential organ donors were classified as category A (3), B (17) and C (40). Consent rate was 53% to 65%, depending on the definition of potential donor (categories A, B and C or category A only). Consent rate was lower when discussions about organ donation were held by trainees or registrars (21%) than when specialists were present (57%) (P = 0.004). A maximum practically achievable organ donation rate for Victoria was estimated to be 15 to 17 donors per million population (current rate, 9 per million population). CONCLUSIONS: The potential for organ donation in Victoria is limited by a small organ donor pool. There is potential to increase the number of organ donors by increasing the consent rate (lower than expected from public surveys), the identification of potential organ donors (particularly those likely to progress to brain death if supportive treatment is continued), and requests for organ donation.
Authors:
Helen I Opdam; William Silvester
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  185     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-04     Completed Date:  2006-09-28     Revised Date:  2007-03-15    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  250-4     Citation Subset:  IM    
Affiliation:
Department of Intensive Care, Austin Health, Melbourne, VIC, Australia. helen.opdam@austin.org.au
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MeSH Terms
Descriptor/Qualifier:
Hospital Mortality*
Hospitals, Public / statistics & numerical data
Humans
Medical Audit
Prospective Studies
Tissue Donors / statistics & numerical data*
Tissue and Organ Procurement / statistics & numerical data*
Victoria
Comments/Corrections
Comment In:
Med J Aust. 2007 Feb 5;186(3):157   [PMID:  17309410 ]
Erratum In:
Med J Aust. 2006 Oct 2;185(7):408

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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