title: Non-Heart-Beating Donor Program: Results After 3 Years of Experience.
abstract: BACKGROUND
  Non-heart-beating donation (NHBD) is a useful way to obtain organs and tissues. Therefore, since 2012 we have had an NHBD protocol in the metropolitan area of Seville. The aim of this work was to present the results obtained after 3 years of program.
  
  
  METHODS
  Prospective observational study carried out from 2012 to 2014. We included all patients with an extrahospitalary sudden death who did not survive despite cardiopulmonary resuscitation, becoming a potential donors (PD). Variables included number of consultations, PD, allowed donor (AD), real donor (RD), and family or legal refusals; minutes of out-hospital care, in-hospital care, cannulation, and perfusion of the RD; and number of organs and tissues removed and viable proportion. Nonallowed donors were grouped according to the discarding cause.
  
  
  RESULTS
  We received 97 consultations, of which 40 were performed as PD. Of these, 24 were AD (60%) and 22 RD (55%). There were only 2 family refusals. In 2012, 10 patients were donors, 5 in 2013, and 7 in 2014. The out-hospital median time was 71 (interquartile range [IQR] 60-76) minutes, in-hospital 29 (26-34) minutes, cannulation 28 (24-33) minutes, and perfusion 135 (105-177) minutes. Eighteen tissues and 43 organs were extracted, of which 32 were implanted (75%), with kidneys (96%) being more frequent. Nonallowed donors numbered 12 in 2012, 4 in 2013, and 1 in 2014, and out-hospital causes were the most frequent discard reason.
  
  
  CONCLUSIONS
  NHBD is a useful program in our city with a low refusal rate (8%), an average of 1.45 organs per donor, and kidney the most frequent organ.
authors.affiliation: Coordinación de Trasplantes, Hospital Universitario Virgen del Rocío, Sevilla, Spain. Electronic address: luis.martin.exts@juntadeandalucia.es.
authors.forename: L
authors.initials: L
authors.lastname: Martin-Villen
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Joan XXIII, Tarragona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Revuelto-Rey
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
authors.forename: T
authors.initials: T
authors.lastname: Aldabo-Pallas
authors.affiliation: Coordinación de Trasplantes, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Correa-Chamorro
authors.affiliation: Coordinación de Trasplantes, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Gallego-Corpa
authors.affiliation: Coordinación de Trasplantes, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Ruiz Del Portal-Ruiz Granados
authors.affiliation: Coordinación de Trasplantes, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
authors.forename: M A
authors.initials: MA
authors.lastname: Roncero-Rodriguez
authors.affiliation: Coordinación de Trasplantes, Hospital Universitario Virgen del Rocío, Sevilla, Spain; IBIS/CSIC/Universidad de Sevilla, Spain.
authors.forename: J J
authors.initials: JJ
authors.lastname: Egea-Guerrero
mesh_terms: D000328:Adult; D002404:Catheterization / Q000706:statistics & numerical data; D003645:Death, Sudden; D046148:Donor Selection / Q000379:methods*; D005260:Female; D006323:Heart Arrest; D006761:Hospitals; D006801:Humans; D007668:Kidney; D008297:Male; D008875:Middle Aged; D016377:Organ Transplantation / Q000706:statistics & numerical data*; D010477:Perfusion / Q000706:statistics & numerical data; D015397:Program Evaluation; D011446:Prospective Studies; D013030:Spain; D013997:Time Factors; D014019:Tissue Donors / Q000600:supply & distribution*