Donation after Brain-Stem Death DBD
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Organ Donation Past, Present and Future Donation after Brain-Stem Death DBD Dr Rowan Burnstein Dr Dale Gardiner Dr Gerlinde Mandersloot 10 th June 2013 1
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Donation after Brain-Stem Death DBD. Dr Rowan Burnstein Dr Dale Gardiner Dr Gerlinde Mandersloot 10 th June 2013 . Session Objectives. Present regional data for DBD Understand that DBD gives better organs than DCD - PowerPoint PPT Presentation
Transcript of Donation after Brain-Stem Death DBD
Organ Donation Past, Present and Future
Donation after Brain-Stem DeathDBD
Dr Rowan BurnsteinDr Dale GardinerDr Gerlinde Mandersloot10th June 2013
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Session Objectives
• Present regional data for DBD• Understand that DBD gives better organs than DCD• Increase rate of neurological confirmation of death
by increasing confidence in the Diagnosis of Death• Increase quality of DBD organs
– adoption of extended care bundle and compliance with the six early interventions in donor optimisation
– collaboration in Scout pilot
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Organ Donation Past, Present and Future
Regional Data
Dr Rowan BurnsteinAddenbrookes Hospital - CLOD
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EASTERN
Organ Donation Past, Present and Future
Donation after Brain Death (DBD)
Mechanically ventilated patient where death has been confirmed using neurological criteria.
KidneysLiver
Pancreas
LungsHeart
Small Intestine
74 donors(2012-2013)
89.7% increase (from 5 years ago)
EASTERN
Donation in the Eastern Team2003-2013
5Organ Donation Past, Present and Future
EASTERN
247.8%
89.7%
148.4%
Donation in the Eastern Team2003-2013
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EASTERN
Organ Donation Past, Present and Future
pancreasliver
lungs
kidneys
heart
DCD DBD
intestine
best transplant outcome favours
-------- National rate
8782
76 74
86
7873 76 76 74 76 74
ND
test
ed (%
)
0
20
40
60
80
100
Team
Easter
n
London
Midlands
North
West
Northern
Northern
Irelan
dSco
tland
South
Centra
lSouth
East
South
Wales South
West
Yorks
hire
1 April 2012 to 31 March 2013, data as at 4 April 2013
Organ Donation Past, Present and Future 8
EASTERN
1st
DBD- Eastern Neurological death testing rate
ND
test
ed (%
)
0
20
40
60
80
100
Number of neurological death suspected patients
0 5 10 15 20 25 30 35 40 45 50 55
110
111213 14
15 1617 18
23
45
6
7 8
9
Trust National rate 95% Lower CL95% Upper CL 99.8% Lower CL 99.8% Upper CL
DBD- Eastern Neurological death testing rate
Organ Donation Past, Present and Future 9
1 April 2012 to 31 March 2013, data as at 4 April 2013
EASTERN
1 Southend University Hospital NHS Foundation Trust
2 Bedford Hospital NHS Trust
3 Luton and Dunstable Hospital NHS Foundation Trust
4 The Queen Elizabeth Hospital, King's Lynn NHS Foundation Trust
5 Basildon and Thurrock University Hospitals NHS Foundation Trust
6 Colchester Hospital University NHS Foundation Trust
7 Peterborough and Stamford Hospitals NHS Foundation Trust
8 James Paget University Hospitals NHS Foundation Trust
9 Ipswich Hospital NHS Trust
10 West Suffolk NHS Foundation Trust
11 Cambridge University Hospitals NHS Foundation Trust
12 Norfolk and Norwich University Hospitals NHS Foundation Trust
13 Kettering General Hospital NHS Foundation Trust
14 Mid Essex Hospital Services NHS Trust
15 Hinchingbrooke Health Care NHS Trust
16 The Princess Alexandra Hospital NHS Trust
17 West Hertfordshire Hospitals NHS Trust
18 East and North Hertfordshire NHS Trust
Northern
Easte
rn
Midlands
Norther
Irelan
d
South East
North W
est
Scotla
nd
Yorks
hire
London
South W
est
South Centra
l
South W
ales3.2
3.4
3.6
3.8
4.0
4.2
4.4
Mean no. of organs donated per DBD donor
1 April 2012 to 31 March 2013, data as at 4 April 2013
2ndNorthern (1st) : Every 10 donors save 1 more life than we do
10Organ Donation Past, Present and Future
EASTERN
