The potential for organ donation in Iceland: A nationwide study of deaths in intensive care units.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
AuthorsPalsson, Thordur P
Kristjansdottir, Thora E
Blondal, Asbjorn T
MetadataShow full item record
CitationPalsson TP, Sigvaldason K, Kristjansdottir TE, et al. The potential for organ donation in Iceland: A nationwide study of deaths in intensive care units [published online ahead of print, 2020 Jan 17]. Acta Anaesthesiol Scand. 2020;10.1111/aas.13551. doi:10.1111/aas.13551
AbstractBackground: The deceased organ donation rate in Iceland has been low compared with other Western countries. The aim of this study was to explore the potential for organ donation after brain death in Iceland. Methods: Observational cohort study of patients with catastrophic brain injury who died in intensive care units (ICUs) at hospitals in Iceland in 2003-2016. Medical records were retrospectively reviewed to identify potential donors (PDs), using the WHO Critical Pathway for Deceased Donation. Trends in annual incidence of PDs, conversion to actual donors, and family refusals were assessed. Results: Among 1537 patients who died in the ICU, 125 (8.1%) were identified as PDs. Of 103 PDs who were declared brain dead, consent for organ donation was pursued in 84 cases and granted in 63. Fifty-six became actual donors. The annual donation rate averaged 13 per million population (pmp), but rose abruptly in the final 2 years to 36 and 27 pmp, respectively. This was paralleled by an increase in annual incidence of PDs from an average of 28 pmp to 54 and 42 pmp, respectively. The donor conversion rate increased during the study period (P = .026). Twenty-three PDs (18%) were not pursued without an apparent reason. Conclusions: The donation rate increased markedly in the last 2 years of the study period after remaining low for more than a decade. This change can largely be explained by a high incidence of PDs and a low family refusal rate. Missed donation opportunities suggest a potential to maintain a high donation rate in the future.
DescriptionTo access publisher's full text version of this article click on the hyperlink below
Rights© 2020 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.
- Availability of transplantable organs from brain stem dead donors in intensive care units.
- Authors: Gore SM, Taylor RM, Wallwork J
- Issue date: 1991 Jan 19
- Factors affecting the deceased organ donation rate in the Chinese community: an audit of hospital medical records in Hong Kong.
- Authors: Cheung CY, Pong ML, Au Yeung SF, Chau KF
- Issue date: 2016 Dec
- Organ donation performance in the Netherlands 2005-08; medical record review in 64 hospitals.
- Authors: Jansen NE, van Leiden HA, Haase-Kromwijk BJ, Hoitsma AJ
- Issue date: 2010 Jun
- Potential for organ donation in the United Kingdom: audit of intensive care records.
- Authors: Barber K, Falvey S, Hamilton C, Collett D, Rudge C
- Issue date: 2006 May 13
- Potential for deceased donation not optimally exploited: donor action data from six countries.
- Authors: Roels L, Smits J, Cohen B
- Issue date: 2012 Dec 15