Korean J Transplant.  2023 Nov;37(Suppl 1):S18. 10.4285/ATW2023.F-5834.

Assessment of hospital deceased organ donation potential at St. Luke’s Medical Center–Quezon City

Affiliations
  • 1Center for Organ Transplantation, St. Lukes Medical Center, Quezon City, Philippines
  • 2Center for Organ Transplantation, Organ Donation Innovative Strategies for Southeast Asia, Philippines

Abstract

Background
Organ transplantation saves lives of patients with end-stage diseases. However, shortage of donors is a limiting factor. To increase organ transplantation in the country, deceased organ donation from brain dead patients, if medically suitable, may be utilized. According to the Philippine Renal Disease Registry in 2015, 32,077 patients were on dialysis and only 475 (3.4%) received a kidney transplant. The Philippines ranks low at only 0.06 person per million kidney transplants. In our country, the number one organ transplanted is the kidney; followed by corneal and liver transplants. This research aims to determine the potential for deceased organ donation from brain dead patients of the center.
Methods
This is a cross-sectional study design. All deceased patients from the Neurocritical Care Unit (NCCU) from January 2022 to June 2022 were classified on its brain death diagnosis. The following were calculated: percentage of brain death out of the total deaths in the hospital, percentage brain deaths out of the total deaths in the NCCU. These indicators will translate to the hospitals deceased organ donor potentiality from brain dead patients.
Results
There is a 2.8% brain death over hospital death; 38.4% brain deaths over NCCU deaths. There were no potential multiple organ donors referred to the transplant center.
Conclusions
There is 2.8% potential for deceased organ donation at St. Lukes Medical Center–Quezon City comparable to the 2.3% potential from a study in Spain, one of the leading countries in deceased donation. There is a need to raise awareness on deceased organ donation to healthcare workers and the community. There is a need to set policies and to have collaborations with programs of the government in increasing deceased donation in the country.

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