Mizraji R, Pérez S, Alvarez I
Instituto Nacional de Donación y Trasplantes, de Células, Tejidos y Organos, INDT (National Institute of Donation and Transplants), Montevideo, Uruguay.
Transplant Proc. 2007 Mar;39(2):339-40. doi: 10.1016/j.transproceed.2007.01.005.
The purpose of this study was to analyze the evolution of donation and organ transplantation in Uruguay, after the initiation of a program of transplant coordination, which began in 2000. The total number of effective donors increased from 28.7 per million people (pmp) in 2000 to 48.1 pmp in 2005, which constituted an increase of 75%. The number of real donors also increased from 10 pmp in 2000 to 20.6 pmp in 2005, more than a 100% increase, with a cadaveric renal transplantation rate of 36 pmp (2005). The conversion of effective to real donors (RD/ED) increased from 0.125 to 0.42. Familial refusal decreased from 62.1% in 2000 to 19% in 2005, which constituted a decrease of 70%. We concluded that implementation of transplant coordinators and involvement of intensive care medical doctors in coordination have had a strong impact on these results.
本研究的目的是分析乌拉圭在2000年启动移植协调项目后捐赠和器官移植的发展情况。有效捐赠者的总数从2000年的每百万人口28.7人增加到2005年的每百万人口48.1人，增幅达75%。实际捐赠者的数量也从2000年的每百万人口10人增加到2005年的每百万人口20.6人，增长超过100%，2005年尸体肾移植率为每百万人口36例。有效捐赠者向实际捐赠者的转化率（RD/ED）从0.125提高到0.42。家属拒绝率从2000年的62.1%降至2005年的19%，降幅达70%。我们得出结论，移植协调员的实施以及重症监护医生参与协调对这些结果产生了重大影响。
Zotero 插件