28 June 2024 : Original article
Effect of the Organ Donation Quality System on Donation Activity of Warsaw Hospitals
Edyta Karpeta
1ABCDEF, Izabella Godlewska 2ABCDEF*, Piotr Małkowski 1EF, Maciej Kosieradzki 2ABCDEF
DOI: 10.12659/AOT.943520
Ann Transplant 2024; 29:e943520
Table 2 Characteristics of 15 hospitals and Intensive Care Units (ICUs) located in Warsaw regarding the potential for deceased organ donation in brain death mechanism in 2017–2018.
| Characteristic/rate | Hospitals with quality procedures (QUALY+, n=4) | Hospitals without quality procedures (QUALY−, n=11) | P |
|---|---|---|---|
| N° of deaths | 6921 | 12534 | <.001 |
| N° of deaths in ICUs | 1609 (33.9% of all hospitalizations in ICU’s) | 2018 (29,4% of all hospitalizations in ICU’s) | .002 |
| N° of deaths with selected ICD-10 codes | 714 (10.3% of all fatalities) | 563 (4.5% of all fatalities) | <.001 |
| N° of ICU deaths with selected ICD-10 codes | 216 (13.4% of ICU deaths) | 182 (9% of ICU deaths) | <.001 |
| N° of diagnosed brain deaths | 86 | 22 | <.001 |
| Objections to organ donation | 12 | 5 | .313 |
| Not retrieved for medical contraindications | 11 | 2 | .634 |
| N° of effective donors* | 63 (73.3%) | 15 (68.2%) | .635 |
| N° of multiorgan donors | 45 (71.4%) | 10 (66.7%) | .716 |
| * Potential organ donor is a patient suspected of brain death and apparently medically suitable for donation. An effective donor is a person diagnosed with death according to neurological criteria, from whom at least 1 organ was retrieved for transplantation. | |||