The work-load generated by a non-heart-beating donor (NHBD) kidney transplant programme over a 3-year period is reported.
A total of 73 referrals were made, 64 from the Accident department and 9 from the wards.
Organ procurement was performed in 24 cases (33%) and resulted in the retrieval of 44 kidneys.
Reasons for failure to achieve organ procurement were : refused consent (n=13 ; 18%), relatives unavailable to ask for consent (n=9 ; 12%), technical problems with catheter insertion or perfusion (n=10 ; 14%), transplant staff unavailable (n=1 ; 1%), long asystolic period (n=8 ; 11%) and donor unsuitable for other reasons (n=8 ; 11%). Of the 44 kidneys retrieved, 30 were transplanted locally, 8 were transplanted at other United Kingdom centres and 6 were discarded.
Locally transplanted NHBD kidneys represented 21% of the total transplant programme during the time period under study.
We conclude that NHBD kidneys are a good source of additional organs for transplantation, but only one-third of referrals result in a successful procurement procedure.
Moreover, the setting up of a successful programme is labour-intensive and requires a highly committed staff.
Mots-clés Pascal : Transplantation, Rein, Don organe, Donneur, Programme sanitaire, Homme, Royaume Uni, Europe, Organisation santé, Chirurgie, Appareil urinaire
Mots-clés Pascal anglais : Transplantation, Kidney, Organ donation, Donor, Sanitary program, Human, United Kingdom, Europe, Public health organization, Surgery, Urinary system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0492029
Code Inist : 002B27C. Création : 10/04/1997.