Journal List > J Korean Soc Transplant > v.23(3) > 1034297

J Korean Soc Transplant. 2009 Dec;23(3):252-256. Korean.
Published online December 31, 2009.  https://doi.org/10.4285/jkstn.2009.23.3.252
Copyright © 2009 The Korean Society for Transplantation
The Organ Donation Rates in the Neurosurgical Field: Preliminary Study in a Single Institute
Seung Jin Lee, M.D.,1 Jun Bum Park, M.D.,1 In Uk Lyo, M.D.,1 Hong Bo Sim, M.D.,1 Sun Kyung Song, R.N.,2 and Soon Chan Kwon, M.D.1
1Department of Neurological Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
2Organ Transplantation Center, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

Corresponding author (Email: parkjb@uuh.ulsan.kr )
Received August 18, 2009; Accepted October 22, 2009.

Abstract

Background

In this study, we analyzed the brain death patients and the donation rates in our neurosurgical field and we discuss the factors that may be important for maximizing these rates by review of literatures.

Methods

We performed a retrospective reviews of 3,016 patients who were admitted into the neurosurgical intensive care unit (NICU) from January 1, 2003 till December 31, 2008.

Results

A total of 300 deaths in the NICU was recorded. The major cause of death was cerebral lesion (92%, n=276). Among these deaths, the cerebral lesion was caused by hemorrhage (59%, n=176) and trauma (33%, n=100). The number of the medically or clinically suitable organ donors was 58 cases (19% of all deaths). Organ donation was realized in 37 cases (64% of all the potential donors). Among the non-donation cases, 16 cases refused organ donation, corresponding to a refusal rate of 28%. Two cases were not suitable due to infection, one case was not suitable due to early death, and two cases were not suitable due to legal problems.

Conclusions

Despite that Koreans overwhelmingly support organ donation and transplantation, the actual donation rate remain low. The organ donation rate of our city as 10 PMP was higher than that of whole country last year. As a preliminary study, it will be necessary to analyze the difference of organ donation rate between our city and other cities to identify predictors to affect on donation.

Keywords: Brain death; Organ donation; Organ transplantation; Intensive care unit; Neurosurgery

Figures


Fig. 1
The cause of brain death for 300 of 3,016 patients who were admitted into the neurosurgical intensive care unit.
Click for larger image


Fig. 2
The primary etiology of potential organ donors (n=58).
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Fig. 3
The number of potential donors and the actual organ donors.
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Fig. 4
The reasons for non-donation. The major reason is refusal from the relatives. The other reasons are legal problems and rapid deterioration.
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Fig. 5
The number of harvested solid organs and corneas (n=139).
Click for larger image

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