J Korean Soc Transplant.
2009 Jun;23(1):43-51.
Establishment of Active Identification and Management System for Potential Brain Dead Donors in Life-link Center
- Affiliations
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- 1Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. jwhamd@snu.ac.kr
- 2Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
- 3Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.
- 4Seoul National University Hospital Transplantation Center, Seoul, Korea.
- 5Seoul National University Transplantation Research Institute, Seoul, Korea.
- 6Department of Surgery, Gachon University Gill Hospital, Inchon, Korea.
- 7Gachon University Gill Hospital Transplantation Center, Inchon, Korea.
Abstract
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BACKGROUND: The purpose of this study was to promote organ donation by active identification and proper management of brain-dead donor with collaborating network system and to assume operating expenses in the setting of independent organ procurement organization (IOPO) in Korea.
METHODS
Seoul National University Hospital and Gachon University Gill Hospital worked together as regional OPO during 8 months from April to December 2008.
RESULTS
We constructed cooperative network system with five base-hospitals by MOU (memorandum of understanding). We visited 138 hospitals 223 times and built up brain-dead organ donation. Among total 265 dead patients in intensive care unit (ICU), 95 (36%) patients were considered as potential organ donors, but only 14 (14.7%) donated their organs actually. During the previous 8 months, there were 67 contacts for potential donor evaluation and total 100 solid organs were actually procured from 31 brain-dead donors except 4 cases. We also established and applied a flow chart and critical pathway of potential brain-dead donor. It was worthy of notice to manage 3 brain-dead donors and successfully procured their organs without donor transportation to HOPO. Apart from operating and depreciation expenses, we could estimate the expenses loss of mean 850,000 won per organ in the current system.
CONCLUSIONS
Our results showed hope for success of IOPO in Korea which would be founded in the near future. Besides persistent active relationship with regional hospitals, a certain degree of financial support or other means such as increase of organ fee and medical insurance coverage should be considered.
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