Donation after cardiac death: results of the SUMMA 112 - Hospital 12 de Octubre Program.
BACKGROUND
In 2005, our center started a donation after cardiac death (DACD) program, by which patients who present an irreversible cardiac arrest outside hospital are brought to our center with the purpose of organ donation. We reviewed the outcomes of our program of kidney transplants from DACD.


METHODS
We conducted a retrospective study of the DACD, and we reviewed the procedures carried out in our institution between July 2005 and December 2010 and descriptively analyzed the results obtained for kidney donation.


RESULTS
One hundred and fifty-two of 274 potential donors were transferred to our hospital. Of them, 126 (82.8%) were connected to cardiopulmonary bypass machine, and organs were procured in 113 donors (74.3%). The discarded grafts were mainly due to inadequate perfusion. One hundred and fifty-six kidneys were transplanted (51.3%). Over a median follow-up period of 18 ± 13.7 months, the median creatinine clearance was 78.2 ± 10.2 ml/min. 8.6% of the grafts had no primary function, and 85% had a delayed graft function. Recipient survival and graft survival were 98% and 87%, respectively.


CONCLUSIONS
DACD is an adequate source of organs for kidney transplantation. Our functional and survival results are encouraged in the short term, although further work is required to increase the program's benefits.
Department of Urology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Natalia
N
Miranda-Utrera
José
J
Medina-Polo
Manuel
M
Pamplona
Federico
F
de la Rosa
Alfredo
A
Rodríguez
José M
JM
Duarte
Juan B
JB
Passas
Alonso
A
Mateos-Rodríguez
Rafael
R
Díaz
Amado
A
Andrés
D000293:Adolescent; D000328:Adult; D000368:Aged; D003643:Death; D051799:Delayed Graft Function / Q000175:diagnosis / Q000453:epidemiology; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000401:mortality / Q000706:statistics & numerical data; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D012189:Retrospective Studies; D013030:Spain; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting / Q000379:methods / Q000706:statistics & numerical data; D009927:Tissue and Organ Procurement / Q000379:methods* / Q000458:organization & administration / Q000706:statistics & numerical data; D055815:Young Adult