PDF(Pubmed)
Abstract：
Uncertainties on the intensive care unit (ICU) regarding the eligibility of a patient to be a potential deceased organ donor may prevent their referral and enrolment in the pathway for organ donation. Healthcare staff may exclude potential donors for medical reasons, which are no longer applicable. Hence, Swisstransplant implemented a digital donor evaluation tool (DET) in 2021, which allows the local hospital\'s organ donation coordinator to send a direct request to medical advisors (MA) of the organ procurement organization before excluding potential donors. All 156 requests entered in 2022 were analyzed. 117 patients (75.0%) were primarily accepted by the MA as potential donors. Of those 60 patients (51.3%) became actual organ donors. Main reasons for using the DET were questions regarding malignancies (n = 33, 21.2%), infectious diseases (n = 35, 22.4%) and age/co-morbidities (n = 34, 21.8%). The average age of the actual \"DET donor\" compared to the regularly enrolled, actual \"Non-DET donor\" was 65.3 ± 15.8 vs. 56.8 ± 17.5 years, respectively (p = 0.008). On average 1.9 ± 1.1 organs compared to 3.2 ± 1.3 organs were retrieved from DET vs. Non-DET donors. In summary, this new digital donor evaluation tool supports reporting and facilitates eligibility decisions in uncertain, complex donor cases, potentially increasing the number of organ donations.
摘要：
重症监护病房（ICU）关于患者是否有资格成为潜在的已故器官捐献者的不确定性可能会阻止他们转诊和注册器官捐献途径。医疗保健人员可能出于医疗原因排除潜在的捐赠者，不再适用。因此，Swisstransplant于2021年实施了数字捐赠者评估工具（DET），该工具允许当地医院的器官捐赠协调员在排除潜在捐赠者之前直接向器官采购组织的医疗顾问（MA）发送请求。对2022年输入的所有156个请求进行了分析。117名患者(75.0%)主要被MA接受为潜在供体。在这60名患者中（51.3％）成为了实际的器官捐献者。使用DET的主要原因是关于恶性肿瘤的问题（n=33，21.2%），传染病（n=35，22.4%）和年龄/合并症（n=34，21.8%）。实际“DET捐赠者”的平均年龄与定期登记的人相比，实际的“非DET捐赠者”为65.3±15.8vs.56.8±17.5年，分别(p=0.008)。从DET和非DET捐赠者。总之,这个新的数字捐赠者评估工具支持报告，并促进不确定的资格决定，复杂的捐献者案例,可能会增加器官捐赠的数量。
