The Organ Donation Rates in the Neurosurgical Field: Preliminary Study in a Single Institute

Seung Jin Lee; Jun Bum Park; In Uk Lyo; Hong Bo Sim; Sun Kyung Song; Soon Chan Kwon

doi:10.4285/jkstn.2009.23.3.252

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Lee, Park, Lyo, Sim, Song, and Kwon: The Organ Donation Rates in the Neurosurgical Field: Preliminary Study in a Single Institute

Original Article

J Korean Soc Transplant 2009;23(3):252-256.

Published online: 11 January 2009

DOI: https://doi.org/10.4285/jkstn.2009.23.3.252

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, 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

책임저자：박준범, 울산시 동구 전하동 290-3 울산대학교병원 신경외과, 682-714 Tel: 052-250-7139, Fax: 052-250-7138 E-mail: parkjb@uuh.ulsan.kr

Received 18 August 200912 October 2009 Accepted 22 October 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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

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