Beginning of Transplant Coordination in a Public Hospital.
DOI:
https://doi.org/10.35954/SM2006.28.1.11Abstract
INTRODUCTION: the figure of the Hospital Transplant Coordinator is essential for the early recruitment of potential donors, and once they have become real donors, to achieve the highest number of organs and tissues to be implanted.
OBJECTIVE: we will analyze the activity of the Hospital Transplant Coordination in a Public Hospital (Hospital Central delas FFAA), in the first eight months of operation.
MATERIAL AND METHODS: we will prospectively analyze the performance in a Hospital with 485 beds. Until 2001, it had 12 Intensive Care beds, all of them with ventilator. In 2002, the number of beds increased to 14 (8 multipurpose and 6 cardiology beds). During the period 2000-2004, the following will be analyzed: number (N°) of deaths, encephalic deaths (EM) reported, real donors, EM/intensive care unit (ICU) bed ratio, EM/deaths in the unit and EM/total number of deaths in the hospital. From 2005 onwards, the Hospital Coordination Program was started with the follow-up of patients with Glasgow Glasgow Glasgow Score (GCS) less than or equal to 8 and the results of the first eight months are shown.
RESULTS: ME in the years: 2000, 2001, 2002, 2003, 2004, first eight months of 2005. The following Variables and Indicators are listed in the attached Tables: ME, Hospital deaths, ICU deaths, ME/Total deaths, ME/ICU deaths, ME/ICU deaths, DR, DR/ICU beds, ME/ICU beds, ME/Polyvalent beds, ME/Polyvalent beds.
DISCUSSION: the figure of the Hospital Transplant Coordinator is fundamental to increase the detection of Potential Donors and transform them into Real Donors, in those areas capable of providing them, such as the ICU, especially the Multipurpose sector. The team work of the Coordinator, with the rest of the members of the Assistance Team and the support of the Hospital of reference in the management, stands out. All this has influenced in a clear increase of the donation culture, a fundamental pillar for the development of the Procurement.
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