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26 May 2024 : Original article  

[In Press] Effect of the Organ Donation Quality System on Donation Activity of Warsaw Hospitals

Edyta Karpeta ORCID logo1ABCDEF, Izabella Godlewska ORCID logo2ABCDEF, Piotr Małkowski ORCID logo1EF, Maciej Kosieradzki ORCID logo2ABCDEF

DOI: 10.12659/AOT.943520

Ann Transplant In Press; DOI: 10.12659/AOT.943520  

Available online: 2024-05-26, In Press, Corrected Proof

Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule

Abstract

BACKGROUND
Like many other countries, Poland faces a shortage of transplantable organs despite implementing strategies to develop donation programs. Increasing the effectiveness of deceased organ donation programs requires the implementation of protocols and quality standards for the entire process. The aim of this study was to assess the organ donation potential in Warsaw hospitals (with and without implemented donation procedures) in the years 2017-2018, before the COVID-19 pandemic affected donation activity. The obtained results were compared with quality indicators established in the ODEQUS project and the European Commission project “Improving Knowledge and Practices in Organ Donation” (DOPKI).
MATERIAL AND METHODS
Retrospective analysis was performed of hospitalization and death causes (including deaths in the brain death mechanism) in the hospitals and intensive care units in 2017-2018. We divided 15 Warsaw hospitals into 2 groups: those with implemented quality programs for organ donation (n=4) and those without such programs (n=11).
RESULTS
Hospitals with procedures obtained significantly higher values than hospitals without procedures, but were lower than the values in DOPKI and ODEQUS. The success rate of the organ donation process after brain death recognition was comparable in all groups. The conversion rate to actual donors was 73% in hospitals with procedures compared to 68% in hospitals without procedures, significantly higher than in the 42% reported in the DOPKI project.
CONCLUSIONS
Low numbers of brain death declarations in Warsaw hospitals result from low recognition of deaths in the brain death mechanism. Implementing procedures at each hospital level will enable identification of critical points and comparison of solution outcomes.

Keywords: Brain Death; Organ Transplantation; Quality Indicators, Health Care; Tissue and Organ Procurement; Tissue Donors

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358