Abstract
Aim: To provide an overview of the DCD donors in NSW/ACT from 2004–2008.
Methods: An examination of the case notes from the DCD donations occurring in NSW/ACT from January 2004 to December 2008.
Results: Of the 33 DCD donors that were identified, the causes of death were CVA 19 (58%), hypoxia 7 (21%), MOF 1 (3%) and traumatic head injury 6 (18%). The median age was 44 (9–74) years. The median time from withdrawal of treatment until declaration of death was 16 (5–57) min. The warm ischemic time was 31 (6–31) min. 82% of donors had their treatment withdrawn in the ICU compared to 18% in OT. A total of 71 organs were retrieved (an organ utilisation
rate of 2.15 organs per donor). 62 kidneys, 3 livers and 6 lungs were retrieved. 1 DCD donor did not have any organs procured and 1 kidney was discarded due to positive donor virology. Since the introduction of the NSW DCD guidelines in June 2007, extra-renal organs can now be retrieved from DCD donors.
Conclusions: With the introduction of the NSW DCD guidelines, we anticipate that this pathway will develop further and have the potential to increase the number of available organs and tissues for transplantation.
Methods: An examination of the case notes from the DCD donations occurring in NSW/ACT from January 2004 to December 2008.
Results: Of the 33 DCD donors that were identified, the causes of death were CVA 19 (58%), hypoxia 7 (21%), MOF 1 (3%) and traumatic head injury 6 (18%). The median age was 44 (9–74) years. The median time from withdrawal of treatment until declaration of death was 16 (5–57) min. The warm ischemic time was 31 (6–31) min. 82% of donors had their treatment withdrawn in the ICU compared to 18% in OT. A total of 71 organs were retrieved (an organ utilisation
rate of 2.15 organs per donor). 62 kidneys, 3 livers and 6 lungs were retrieved. 1 DCD donor did not have any organs procured and 1 kidney was discarded due to positive donor virology. Since the introduction of the NSW DCD guidelines in June 2007, extra-renal organs can now be retrieved from DCD donors.
Conclusions: With the introduction of the NSW DCD guidelines, we anticipate that this pathway will develop further and have the potential to increase the number of available organs and tissues for transplantation.
| Original language | English |
|---|---|
| Pages (from-to) | A18 |
| Number of pages | 1 |
| Journal | Immunology and Cell Biology |
| Volume | 87 |
| Issue number | 6 |
| Publication status | Published - Aug 2009 |
| Externally published | Yes |
| Event | 27th Annual Scientific Meeting of the Transplantation-Society-of-Australia-and-New-Zealand - Canberra, Australia Duration: 17 Jun 2009 → 19 Jun 2009 |