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KMID : 0361120170310010043
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Korean Journal of Transplantation
2017 Volume.31 No. 1 p.43 ~ p.48
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Influencing Factors Affecting Successful Organ Donation and Families’ Consent to Donate after Drain Death
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Lee Eun-Woo
Jang Hye-Yeon
Han Sang-Youb
Han Kum-Hyun
Oh Se-Won
Roh Young-Nam
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Abstract
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Background: This study was conducted to identify the factors influencing successful organ donation and families’ consent to donate after brain death.
Methods: Medical records and data regarding organ donation counseling with the families of 107 brain-dead potential donors between September 2012 and March 2016 at a single tertiary medical center were retrospectively reviewed.
Results: The final consent rate was 57.9% (62/107), and successful donation was performed in 40.2% (43/107) of cases. Univariate and multivariate analyses revealed that the independent factors associated with successful organ donation were age ＜60 years (odds ratio [OR], 3.384; 95% confidence interval [CI], 1.350 to 8.484; P=0.009), systolic blood pressure ≥90 mmHg (OR, 6.261; 95% CI, 1.418 to 27.653; P=0.015), and serum sodium level ≥150 mEq (OR, 4.215; 95% CI, 1.655 to 10.733; P=0.003). Family’s consent to donate was significantly associated with head trauma (OR, 3.538; 95% CI, 1.104 to 11.334; P=0.033) and serum sodium level ≥150 mEq (OR, 3.392; 95% CI, 1.404 to 8.194; P=0.007).
Conclusions: Successful organ donation was associated with patient age, systolic blood pressure and serum sodium level. Family’s consent to donate was associated with head trauma and serum sodium level.
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KEYWORD
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Tissue and organ procurement, Families’ consent, Brain dead donor
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