Journal List > J Korean Soc Transplant > v.26(2) > 1034366

Park, Yoon, Cho, Roels, Smits, Cohen, Kim, Bok, Kang, Kim, Lee, and Kim: Preliminary Results of Donor Action in Korea

Abstract

Background

Donor Action (DA) is a well-known program used to evaluate the potential of organ donors and to survey hospital attitudes toward organ donation in a region or nation. DA has not yet been fully implemented in Korea.

Methods

We collected medical information on expired patients from 9 hospitals in Yeoung-nam province. We also passed out Hospital Attitude Survey questionnaires in those same 9 hospitals. We reviewed the medical records of the expired patients in the neurological and neurosurgical critical care units from January 1, 2009 to December 31, 2009. Data was analyzed with a DA system database.

Results

A total of 704 patients were enrolled. Altogether, 307 patients (43.6%) were potential donors, and 26 patients (6.5%) were reported to an to organ procurement organization. Among the potential donors, a family approach was taken with 33 patients (10.7%), and family consent was obtained in 26 cases (8.5%). Organ donation was done with 24 patients (7.8%). Among the potential donors, 88.6% of them were not identified as potential donors. Hospital attitude surveys were given to 417 hospital staff members. A positive attitude towards organ donation was shown in 85%. However, only 55.4% of hospital staff agreed on the concept of brain death.

Conclusions

Among the processes of organ donation, identifying a potential donor is a critical step to increase organ donation.

Figures and Tables

Fig. 1
A breakdown diagram of medical record review according to donation pathway.
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Fig. 2
Vocation and age distribution of respondents.
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Fig. 3
Attitudes toward the definition of brain death.
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Fig. 4
Atittudes toward organ donation and tissue donation.
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Fig. 5
Feeling comfortable with donation related tasks (Do you feel comfortable in the following situations?).
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Fig. 6
Self reported confidence levels with regard to donation related tasks (Do you feel you have necessary competence or necessary knowledge to?).
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Fig. 7
Educational needs with regard to donation related tasks.
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Table 1
Donation number according to donor age (n, % of potential donor)
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Table 2
Donation number according to the cause of brain death (n, % of potential donor)
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