Clinical Analysis of 10 Years Brain Death Donors in Single Center after Korean Network for Organ Sharing.
10.4285/jkstn.2010.24.3.196
- Author:
Jae myeong LEE
1
;
Young Joo LEE
;
Kyu Dong KYUNG
;
Yong Cheol IM
;
Chang Kwon OH
;
Jung Hwan AHN
;
Young Gi MIN
;
Ji Hye KIM
;
Mi Young LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, Korea. leeyj@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
Brain-death donor;
Korean Network for Organ Sharing (KONOS);
Activation of transplantation
- MeSH:
Accidents, Traffic;
Brain;
Brain Death;
Cornea;
Female;
Heart;
Humans;
Jurisprudence;
Kidney;
Korea;
Lung;
Male;
Pancreas;
Retrospective Studies;
Tissue and Organ Procurement;
Tissue Donors
- From:The Journal of the Korean Society for Transplantation
2010;24(3):196-203
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Brain-death donation became legal in Korea after "The law of organ transplantation" was established at 2000. Therefore, in this study, we report on the clinical analysis of brain-death donors at Ajou University Hospital since the Korean Network for Organ Sharing (KONOS) was launched in the year 2000. METHODS: We reviewed 90 brain-death donors who were managed at Ajou University Hospital from 2000 to 2009 and we retrospectively analyzed the clinical characteristics. RESULTS: The number of brain-death donors was 29 from 2000 to 2005 and 61 from 2006 to 2009, and this showed an increasing tendency. Forty-three brain-death donors (47.8%) were detected at our hospital and 47 donors (52.2%) were from referring hospitals. The percent of brain-death donors at our hospital was 31.0% from 2000 to 2005 and 55.7% from 2006 to 2009 (P=0.042). The mean age of the brain-death donors was 36.3 years (range: 8 months~70 years) and the fifth decade was the most common (25.6%). The gender ratio showed significant difference (P=0.001); there were 60 male donors (66.7%) and there were 30 females (33.3%). The most common cause of brain-death was cerebrovascular disease/stroke (48 donors, 53.3%) followed by traffic accident (15 donors, 16.7%). The most common blood type was Rh+ O (35.6%). The mean number of harvested organs was 3.9 and one donor (1.1%) had the largest number of harvested organs (9) (liver, 2 kidneys, pancreas, heart, lung, 2 corneas, tissue). The mean time to procurement was 3.6 days (range: 2~24 days). CONCLUSIONS: We recommend active discovery and evaluation of brain-death donors in all the hospitals including the hospital organ procurement organization (HOPO).