Establishment of Active Identification and Management System for Potential Brain Dead Donors in Life-link Center.
- Author:
Yang Jin PARK
1
;
Hyunjin KANG
;
Eun Man KIM
;
Woo Young SHIN
;
Nam Joon YI
;
Kyung Suk SUH
;
Curie AHN
;
Byung Woo YOON
;
Yean Ho PARK
;
Jung Nam LEE
;
Ji Hyun KIM
;
Seung Kee MIN
;
Sang Joon KIM
;
Jongwon HA
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. jwhamd@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Organ procurement organization;
Activation of transplantation;
Potential brain-dead donor
- MeSH:
Animals;
Brain;
Brain Death;
Critical Pathways;
Depreciation;
Fees and Charges;
Financial Support;
Gills;
Humans;
Insurance Coverage;
Intensive Care Units;
Korea;
Tissue and Organ Procurement;
Tissue Donors;
Transportation
- From:The Journal of the Korean Society for Transplantation
2009;23(1):43-51
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The purpose of this study was to promote organ donation by active identification and proper management of brain-dead donor with collaborating network system and to assume operating expenses in the setting of independent organ procurement organization (IOPO) in Korea. METHODS: Seoul National University Hospital and Gachon University Gill Hospital worked together as regional OPO during 8 months from April to December 2008. RESULTS: We constructed cooperative network system with five base-hospitals by MOU (memorandum of understanding). We visited 138 hospitals 223 times and built up brain-dead organ donation. Among total 265 dead patients in intensive care unit (ICU), 95 (36%) patients were considered as potential organ donors, but only 14 (14.7%) donated their organs actually. During the previous 8 months, there were 67 contacts for potential donor evaluation and total 100 solid organs were actually procured from 31 brain-dead donors except 4 cases. We also established and applied a flow chart and critical pathway of potential brain-dead donor. It was worthy of notice to manage 3 brain-dead donors and successfully procured their organs without donor transportation to HOPO. Apart from operating and depreciation expenses, we could estimate the expenses loss of mean 850,000 won per organ in the current system. CONCLUSIONS: Our results showed hope for success of IOPO in Korea which would be founded in the near future. Besides persistent active relationship with regional hospitals, a certain degree of financial support or other means such as increase of organ fee and medical insurance coverage should be considered.
