The role of healthcare professionals to improve organ donation and transplantation outcome: a national study.

IF 1.4 4区医学 Q4 CELL BIOLOGY Cell and Tissue Banking Pub Date : 2024-03-01 Epub Date: 2023-01-28 DOI:10.1007/s10561-023-10071-7

Shadnoush Mahdi, Latifi Marzieh, Rahban Habib, Pourhosein Elahe, Dehghani Sanaz

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Abstract

Background: Improve the quality of donor coordination activities caused by an increased organ donation rate. The aim of this study was to assess the influence of organ donation coordinators' characteristics on rate of donation and family consent rate in Recognition Centers (RCs) and Organ Procurement Units (OPUs) in Iran by analyzing the organ procurement and transplantation data.

Materials and methods: Based on a questionnaire, this retrospective study evaluated the number of confirmed brain deaths, family consent rate, organ recoveries, rate of expired brain death cases before and after family consent in Iran.

Results: According to results, the overall family consent rate in the entire country is equal to 60.63%. The work experience had a significant effect on the number of procured organs (P < 0.004), death rate after family consent (P < 0.04), and eligible donor death before family consent (P < 0.03). The type of unit (RCs or OPUs) had significant difference on death after family consent (P < 0.023), the death before family consent (P < 0.014), the sum of procured organ (P < 0.04).

Conclusion: The consent rate and donor management in the cases of brain death are unacceptable. The coordinators need training to increase their efficiency in terms of family approach and maintenance of brain death. Only by improving the level of family consent and increasing the coordinators' maintenance skills for brain death cases can the amount of organ donation in Iran be doubled to the current amount.

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医护人员在改善器官捐赠和移植结果方面的作用：一项全国性研究。

背景：提高器官捐献协调活动的质量有助于提高器官捐献率。本研究旨在通过分析器官获取和移植数据，评估器官捐献协调员的特征对伊朗确认中心（RCs）和器官获取单位（OPUs）捐献率和家属同意率的影响：这项回顾性研究以调查问卷为基础，评估了伊朗经确认的脑死亡人数、家属同意率、器官复苏率、家属同意前后过期脑死亡病例的比率：结果显示，全国的家属同意率为 60.63%。工作经验对获取器官的数量有显著影响（P 结论）：脑死亡案例中的同意率和捐献者管理是不可接受的。协调员需要接受培训，以提高他们在与家属接触和维护脑死亡方面的效率。只有提高家属同意率和协调人员对脑死亡病例的维护技能，伊朗的器官捐献数量才能在现有基础上翻一番。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cell and Tissue Banking CELL BIOLOGY-ENGINEERING, BIOMEDICAL

CiteScore

3.10

自引率

13.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Cell and Tissue Banking provides a forum for disseminating information to scientists and clinicians involved in the banking and transplantation of cells and tissues. Cell and Tissue Banking is an international, peer-reviewed journal that publishes original papers in the following areas: basic research concerning general aspects of tissue banking such as quality assurance and control of banked cells/tissues, effects of preservation and sterilisation methods on cells/tissues, biotechnology, etc.; clinical applications of banked cells/tissues; standards of practice in procurement, processing, storage and distribution of cells/tissues; ethical issues; medico-legal issues.