J Korean Soc Transplant.  2017 Mar;31(1):43-48. 10.4285/jkstn.2017.31.1.43.

Influencing Factors Affecting Successful Organ Donation and Families' Consent to Donate after Drain Death

Affiliations
  • 1Department of Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. Ironman0913@hanmail.net
  • 2Transplantation Center, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
  • 3Department of Nephrology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Abstract

BACKGROUND
This study was conducted to identify the factors influencing successful organ donation and families' consent to donate after brain death.
METHODS
Medical records and data regarding organ donation counseling with the families of 107 brain-dead potential donors between September 2012 and March 2016 at a single tertiary medical center were retrospectively reviewed.
RESULTS
The final consent rate was 57.9% (62/107), and successful donation was performed in 40.2% (43/107) of cases. Univariate and multivariate analyses revealed that the independent factors associated with successful organ donation were age <60 years (odds ratio [OR], 3.384; 95% confidence interval [CI], 1.350 to 8.484; P=0.009), systolic blood pressure ≥90 mmHg (OR, 6.261; 95% CI, 1.418 to 27.653; P=0.015), and serum sodium level ≥150 mEq (OR, 4.215; 95% CI, 1.655 to 10.733; P=0.003). Family's consent to donate was significantly associated with head trauma (OR, 3.538; 95% CI, 1.104 to 11.334; P=0.033) and serum sodium level ≥150 mEq (OR, 3.392; 95% CI, 1.404 to 8.194; P=0.007).
CONCLUSIONS
Successful organ donation was associated with patient age, systolic blood pressure and serum sodium level. Family's consent to donate was associated with head trauma and serum sodium level.

Keyword

Tissue and organ procurement; Families' consent; Brain dead donor
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