Organ Donation Dr Peter Bishop Clinical Lead for Organ Donation.
Deceased organ donation in STH. A2 - Organ donation... · Clare Jones, Helen Brown, Jamie Smith,...
Transcript of Deceased organ donation in STH. A2 - Organ donation... · Clare Jones, Helen Brown, Jamie Smith,...
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Deceased organ donation in STH.
Andrew Davidson, James Wigfull, CLODs. Clare Jones, Helen Brown, Jamie Smith, SNODs.
Donation Committee, Shirley Harrison, Annette Laban, Chairs.
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751 765 793 809 899 959 1010 10881212
1320 1298
2242 21972386 2384
2559 2655 27062916
3118
35093368
0
500
1000
1500
2000
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3500
4000
2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15
Donors Transplants
Deceased donors &
transplants
Predicted based on activity to 1 Mar
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Source: Transplant activity in the UK, 2013-2014, NHS Blood and Transplant
Transplants7,8
3,505
Organs transplanted7,8
3,969
UK population1
~63,000,000UK deaths2
~570,000Deaths in hospitals3
~ 283,000Potential donors4,5
8,157Eligible donors4,6
5,490
Donation requests4
3,247
Consented donors7
1,999
Actual donors7
1,320
1 Mid 2012 estimates: www.ons.gov.uk2 2012 data: England & Wales www.ons.gov.uk; Scotland www.gro-scotland.gov.uk; Northern Ireland www.nisra.gov.uk3 2012 data: England & Wales www.ons.gov.uk; Scotland www.isdscotland.org; Northern Ireland www.nisra.gov.uk4 2013/2014 data: NHSBT, Potential Donor Audit 5 Potential donor - patients for whom death was confirmed following neurological tests or patients who had treatment withdrawn and death was anticipated within four
hours6 Eligible donor - Potential donor with no absolute medical contraindications to solid organ donation7 2013/2014 deceased donor data: NHSBT, UK Transplant Registry 8 Using organs from actual donors in the UK
UK Potential deceased organ donor population, 1 April 2013 – 31 March 2014
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Declared brain stem dead
Approach to family
Evaluation as potential donor
Transferred to theatre on ventilator and organ
retrieval process commenced
Heart beating donor-donation after brain
stem death-DBD
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Controlled non-heart beating donation-
donation after cardiac death-DCD
Ongoing care not in best interests
Approach to family
Evaluation as potential donor
Treatment withdrawal
Death Transferred to theatre
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May, 2015
0
2000
4000
6000
8000
10000
Deceased Donors and the Transplant Waiting List
Total DeceasedDonors
Transplant waitinglist
X (with living donors)
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STH deceased donors 2014/2015
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Neurological death testing
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Referral to Specialist Nurse-Organ Donation
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Family approach
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Approach involving a SNOD
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Consent for donation.
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Overall key rates.
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Comparative donation data.
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0 0 0 4 4 3 2 4 5
2 0 4
13 12
4 6 6
8
0 0
3
7 6
5 1
6 3
3 2
8
16
13
17
6
9 15
10 10
18
35 44 52
20
26
33
0
10
20
30
40
50
60
70
80
90
2012/2013 2013/2014 2014/2015 2012/2013 2013/2014 2014/2015 2012/2013 2013/2014 2014/2015
Hull Leeds Sheffield
Nu
mb
er
or
org
ans
tran
spla
nte
d
Level 1 Hospital data by year
Organ Donation by Level 1 Hospitals in Yorkshire
Small Bowel
Kidney
Liver
Pancreas
Lung
Heart
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Nationally
• Deemed consent-Wales
• UK Organ Donor Register opt out
• Central IT/mobile coordination of donation
• Incentives to donate-Israel
• Neonatal donation and brainstem testing
• Coronial refusal
• Organ preservation-DCD hearts
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• Governors and Muslim Chaplin on
Donation committee
• Donation memorial/Communications
• Consent pilot Yorkshire/North West
• Yorkshire CLOD team review
• Cardiac Intensive Care Unit
• Theatre/ICU access, ED workload
• Tissue donation
Local
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