• Medicina intensiva · May 2013

    Observational Study

    Alpha code. The start of a new non-heart beating donor program.

    • J M Pérez-Villares, R Lara-Rosales, F Pino-Sánchez, P Fuentes-García, E Gil-Piñero, A Osuna Ortega, and J M Cozar Olmo.
    • Coordinación de Trasplantes y Unidad de Medicina Intensiva, Servicio de Cuidados Críticos y Urgencias, Hospital Universitario Virgen de las Nieves, Granada, España. josem.perez.villares.sspa@juntadeandalucia.es
    • Med Intensiva. 2013 May 1;37(4):224-31.

    ObjectiveTo present the preliminary results of a non-heart beating donor (NHBD) program in a city of under 500,000 inhabitants.DesignA prospective observational study was conducted between 2010 and 2011.SettingVirgen de las Nieves Hospital and metropolitan area of Granada (Spain).PopulationNHBD and brain dead donors (BDD) in the province of Granada during 2010 and 2011.Study VariablesCharacteristics of NHBD, out- and in-hospital times, family and legal refusals, preservation methods, and family information procedure. Organs: reasons for organ non-validness, and harvested and transplanted organs. Recipients: hemodialysis sessions and creatinine at discharge. BDD: number of real donors (RD) and of kidney transplants.ResultsAmong the BDD there were 102 RD and 104 kidney transplants were carried out. In asystole, 22 potential donors, 21 eligible donors, 20 RD and 13 used donors were registered. The mean age among the RD was 50 years (range 33-62)(16 males and 4 females). Twenty-one kidney and two liver transplants from NHBD were performed. There were a number of reasons for organ non-validness. The mean number of post-transplantation hemodialysis sessions was 1.4 (range 0-6). The mean hospital stay was 25 days (range 14-41), and the mean creatinine concentration at discharge was 3.4mg/dl (range 1.5-6.4). There was one family rejection and no legal (court-ruled) rejections. The preservation methods and family information procedure are described.ConclusionsThe preliminary results support the development of NHBD programs in cities with under 500,000 inhabitants. In 2011, NHBD accounted for 20.19% of the kidney transplants and 19.60% of the global organ donations in the province of Granada.Copyright © 2012 Elsevier España, S.L. and SEMICYUC. All rights reserved.

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