[Profile of effective donors from organ and tissue procurement services]
- PMID: 24770685
- PMCID: PMC4031888
- DOI: 10.5935/0103-507x.20140004
[Profile of effective donors from organ and tissue procurement services]
Abstract
Objective: To characterize the profile of effective organ and tissue donors and to understand which organs and tissues were donated for transplantation.
Methods: This was a quantitative, descriptive, exploratory, retrospective study that analyzed clinical data from 305 donors between January 2006 to December 2010. The data were then analyzed using descriptive analyses, generating frequency tables, measures of position (mean, minimum and maximum) and measures of dispersion (standard deviation) for data that was social and clinical in nature.
Results: There was an overall predominance of white (72%) and male (55%) individuals between the ages of 41 and 60 years (44%). The primary cause of brain death was cerebrovascular accident (55%). In the patient history, 31% of the patients were classified as overweight, 27% as hypertensive and only 4.3% as having diabetes mellitus. Vasoactive drugs were used in 92.7% of the donors, and the main drug of choice was noradrenaline (81.6%). Hyperglycemia and hypernatremia were diagnosed in 78% and 71% of the donors, respectively.
Conclusion: Significant hemodynamic changes were found, and the results indicate that the use of vasoactive drugs was the main strategy used to control these changes. Furthermore, most donors presented with hyperglycemia and hypernatremia, which were frequently reported in association with brain death. The persistent nature of these findings suggests that the organ donors were inadequately maintained.
Conflict of interest statement
Figures
References
-
- Dimensionamento dos transplantes no Brasil e em cada estado (2005-2012) [acesso em 09 Setembro 2013];Registro Brasileiro de Transplantes. 2012 18(4) Disponível em: http://www.abto.org.br/abtov03/Upload/file/RBT/2012/RBTdimensionamento20....
-
- Morato EG. Morte encefálica: conceitos essenciais, diagnóstico e atualização. Rev Med Minas Gerais. 2009;19(3):227–236.
-
- Brasil. Secretaria de Estado da Saúde de São Paulo. Sistema Estadual de Transplantes . Lista de espera por órgão e córnea - 2010. Lista de espera para transplante, com doador cadavérico, no Estado de São Paulo. São Paulo: Secretaria de Estado da Saúde de São Paulo; 2010. [citado 2011 Ago 5]. Disponível em: http://www.saude.sp.gov.br/ses/perfil/gestor/informacoes-de-saude_1/tran....
-
- United States of America [cited 2014 Jan 21];Organ Procurement and Transplantation Network. Data. Waiting list candidates 2014. Disponível em: http://optn.transplant.hrsa.gov/
-
- Shah VR. Aggressive management of multiorgan donor. Transplant Proc. 2008;40(4):1087–1090. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical