Influencing Factors Affecting Successful Organ Donation and Families' Consent to Donate after Drain Death.
10.4285/jkstn.2017.31.1.43
- Author:
Eun Woo LEE
1
;
Hye Yeon JANG
;
Sang Youb HAN
;
Kum Hyun HAN
;
Se Won OH
;
Young Nam ROH
Author Information
1. Department of Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. Ironman0913@hanmail.net
- Publication Type:Original Article
- Keywords:
Tissue and organ procurement;
Families' consent;
Brain dead donor
- MeSH:
Blood Pressure;
Brain Death;
Counseling;
Craniocerebral Trauma;
Humans;
Medical Records;
Multivariate Analysis;
Retrospective Studies;
Sodium;
Tissue and Organ Procurement*;
Tissue Donors
- From:The Journal of the Korean Society for Transplantation
2017;31(1):43-48
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study was conducted to identify the factors influencing successful organ donation and families' consent to donate after brain death. METHODS: Medical records and data regarding organ donation counseling with the families of 107 brain-dead potential donors between September 2012 and March 2016 at a single tertiary medical center were retrospectively reviewed. RESULTS: The final consent rate was 57.9% (62/107), and successful donation was performed in 40.2% (43/107) of cases. Univariate and multivariate analyses revealed that the independent factors associated with successful organ donation were age <60 years (odds ratio [OR], 3.384; 95% confidence interval [CI], 1.350 to 8.484; P=0.009), systolic blood pressure ≥90 mmHg (OR, 6.261; 95% CI, 1.418 to 27.653; P=0.015), and serum sodium level ≥150 mEq (OR, 4.215; 95% CI, 1.655 to 10.733; P=0.003). Family's consent to donate was significantly associated with head trauma (OR, 3.538; 95% CI, 1.104 to 11.334; P=0.033) and serum sodium level ≥150 mEq (OR, 3.392; 95% CI, 1.404 to 8.194; P=0.007). CONCLUSIONS: Successful organ donation was associated with patient age, systolic blood pressure and serum sodium level. Family's consent to donate was associated with head trauma and serum sodium level.
