Deceased organ donation in STH. A2 - Organ donation... · Clare Jones, Helen Brown, Jamie Smith,...
Transcript of Deceased organ donation in STH. A2 - Organ donation... · Clare Jones, Helen Brown, Jamie Smith,...
Deceased organ donation in STH.
Andrew Davidson, James Wigfull, CLODs. Clare Jones, Helen Brown, Jamie Smith, SNODs.
Donation Committee, Shirley Harrison, Annette Laban, Chairs.
751 765 793 809 899 959 1010 10881212
1320 1298
2242 21972386 2384
2559 2655 27062916
3118
35093368
0
500
1000
1500
2000
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2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15
Donors Transplants
Deceased donors &
transplants
Predicted based on activity to 1 Mar
Source: Transplant activity in the UK, 2013-2014, NHS Blood and Transplant
Transplants7,8
3,505
Organs transplanted7,8
3,969
UK population1
~63,000,000UK deaths2
~570,000Deaths in hospitals3
~ 283,000Potential donors4,5
8,157Eligible donors4,6
5,490
Donation requests4
3,247
Consented donors7
1,999
Actual donors7
1,320
1 Mid 2012 estimates: www.ons.gov.uk2 2012 data: England & Wales www.ons.gov.uk; Scotland www.gro-scotland.gov.uk; Northern Ireland www.nisra.gov.uk3 2012 data: England & Wales www.ons.gov.uk; Scotland www.isdscotland.org; Northern Ireland www.nisra.gov.uk4 2013/2014 data: NHSBT, Potential Donor Audit 5 Potential donor - patients for whom death was confirmed following neurological tests or patients who had treatment withdrawn and death was anticipated within four
hours6 Eligible donor - Potential donor with no absolute medical contraindications to solid organ donation7 2013/2014 deceased donor data: NHSBT, UK Transplant Registry 8 Using organs from actual donors in the UK
UK Potential deceased organ donor population, 1 April 2013 – 31 March 2014
Declared brain stem dead
Approach to family
Evaluation as potential donor
Transferred to theatre on ventilator and organ
retrieval process commenced
Heart beating donor-donation after brain
stem death-DBD
Controlled non-heart beating donation-
donation after cardiac death-DCD
Ongoing care not in best interests
Approach to family
Evaluation as potential donor
Treatment withdrawal
Death Transferred to theatre
May, 2015
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2000
4000
6000
8000
10000
Deceased Donors and the Transplant Waiting List
Total DeceasedDonors
Transplant waitinglist
X (with living donors)
STH deceased donors 2014/2015
Neurological death testing
Referral to Specialist Nurse-Organ Donation
Family approach
Approach involving a SNOD
Consent for donation.
Overall key rates.
Comparative donation data.
0 0 0 4 4 3 2 4 5
2 0 4
13 12
4 6 6
8
0 0
3
7 6
5 1
6 3
3 2
8
16
13
17
6
9 15
10 10
18
35 44 52
20
26
33
0
10
20
30
40
50
60
70
80
90
2012/2013 2013/2014 2014/2015 2012/2013 2013/2014 2014/2015 2012/2013 2013/2014 2014/2015
Hull Leeds Sheffield
Nu
mb
er
or
org
ans
tran
spla
nte
d
Level 1 Hospital data by year
Organ Donation by Level 1 Hospitals in Yorkshire
Small Bowel
Kidney
Liver
Pancreas
Lung
Heart
Nationally
• Deemed consent-Wales
• UK Organ Donor Register opt out
• Central IT/mobile coordination of donation
• Incentives to donate-Israel
• Neonatal donation and brainstem testing
• Coronial refusal
• Organ preservation-DCD hearts
• Governors and Muslim Chaplin on
Donation committee
• Donation memorial/Communications
• Consent pilot Yorkshire/North West
• Yorkshire CLOD team review
• Cardiac Intensive Care Unit
• Theatre/ICU access, ED workload
• Tissue donation
Local