Causes for an Incomplete Donation Process at a Tertiary Care Hospital.
BACKGROUND
This study aims to identify the causes for the incomplete donation process at a tertiary care hospital.


METHODS
A descriptive, retrospective study was performed; all potential donors reported to the Transplant Service within the period of 2005 to 2014 were included. Descriptive statistics were used across frequencies and proportions for categorical variables, central tendency, and dispersion for continuous variables.


RESULTS
The total number of deaths reported at the University Hospital (HU) was 8472, of which 815 (n = 815) were reported to COETRA ("Consejo Estatal de Trasplantes"). Among organ or tissue donors, the main known cause of death was head trauma (HT) in 26% (72). Cardiac arrest (CA) as cause of death provided the largest number of donations (141, 57%); of these, 102 (41%) were male and 39 (16%) were female. In comparison, brain death (BD) provided 104 (43%); of these, 65 (27%) were male, and 39 (16%) were female. The age interval was with a higher donation rate was 45 to 49 y (BD 18, CA 22). Donation request was not performed in 359 patients because of medical contraindication 60% (215), rapid deterioration 18% (64), and incomplete donation process 8% (27). Of 452 organ requests, 207 were not accomplished, because of body integrity 28% (57), family disagreement 20% (42), and no acceptance of BE 13% (26).


CONCLUSIONS
Opportunity areas: (1) Ensure the notification of all deaths to Transplant Department for identification of potential donors; (2) Reduce rapid deterioration and raise number of completed donation protocols; (3) Increase the donation rate.
Transplant Service, University Hospital Dr. José Eleuterio González, Monterrey, México.
E K
EK
Guerra-Sáenz
Transplant Service, University Hospital Dr. José Eleuterio González, Monterrey, México.
A G
AG
Narváez-Navarro
Transplant Service, University Hospital Dr. José Eleuterio González, Monterrey, México.
A C
AC
Hernández-López
Transplant Service, University Hospital Dr. José Eleuterio González, Monterrey, México.
C E
CE
Rojas-Delgado
Transplant Service, University Hospital Dr. José Eleuterio González, Monterrey, México.
G
G
Ruíz-Cantú
Liver Unit, University Hospital Dr. José Eleuterio González, Monterrey, México.
P
P
Cordero-Pérez
Transplant Service, University Hospital Dr. José Eleuterio González, Monterrey, México.
M
M
Hernández-Guedea
Transplant Service, University Hospital Dr. José Eleuterio González, Monterrey, México.
H
H
Zapata-Chavira
Transplant Service, University Hospital Dr. José Eleuterio González, Monterrey, México.
M M
MM
Escobedo-Villarreal
Liver Unit, University Hospital Dr. José Eleuterio González, Monterrey, México.
L
L
Muñoz-Espinosa
Transplant Service, University Hospital Dr. José Eleuterio González, Monterrey, México. Electronic address: ede59@yahoo.com.mx.
E
E
Pérez Rodríguez
D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D012189:Retrospective Studies; D063128:Tertiary Health Care; D014019:Tissue Donors / Q000600:supply & distribution*; D009927:Tissue and Organ Procurement / Q000706:statistics & numerical data*