D.A.S D.A.S THE DONOR ALERT THE DONOR ALERT

SYSTEM SYSTEM Manyalich M1, Guasch X1, Gunderson S2, Gomez MP1, Schena FP3, Stephan A4, Younan F 4

1 DTI Foundation, Barcelona,Spain2 Lifesource, Minessota, USA3 Apulia Transplant Regional Center, Azienda Ospedaliero- Universitaria Policlinico di Bari, Bari, Italy4 NOOTDT, Lebanon.

BACKGROUND

The donor detection is the first step in the Deceased Donation Process.

Improving the detection could be possible increase the total number of actual donor.

The donor detection is a KEY point in the process of Organ Donation for transplantation

BACKGROUND

An analysis of data in A Pulia region and Lebanon shows that there is a considerable number of patients who being in brain death, are not marked.

For this purpose, the two regions started DAS (Donor Alert System), a new monitoring and reporting system

about cardiac and brain death

OBJECTIVE

Early detection of all possible organ and tissue donors

PROCEDURETriggers

ICU cardiac death within the first hour after diagnosis

ICU admission of a patient with criteria of Severe Neurological Damage (SND) within first hour after admission

ICU patient that has developed criteria of Severe Neurological Damage (SND) within the first hour of criteria fulfilling

ICU Possible

DonorSMS

PROCEDURE

ResponseResponse

Donor Evaluation

RESULTSIn Apulia region Started January 2009 in 21 ICU4.890 Alerts were received during the first 3 years. The Brain death diagnosed increase in 38,2% (82 Vs.113)43 alerts per month 4.4 donors per month Vs. 2.2 donors in 2008

RESULTSIn LebanonStarted November 2009 in 23 ICU1.469 Alerts were received during the first year.

Total = 750

CONCLUSION

Further increase in the use of DAS could reduce the “escapes” of patients who are in brain death and increase the donors.

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