Perez-Protto S, Mizraji R, Alvarez I
Instituto Nacional de Donación y Trasplantes, National Institute of Donation and Transplants, Montevideo, Uruguay.
Transplant Proc. 2009 Oct;41(8):3460-1. doi: 10.1016/j.transproceed.2009.09.037.
The main goal of any organ procurement organization (OPO) is to offer the greatest number of organs achievable with the goal of reducing mortality and the waiting list time of patients. Evaluation of OPO activity is mandatory to identify causes of missed potential donors seeking to implement changes in steps susceptible of improvement. In this review, we have presented the classical indicators of brain death along with new indicators. We observed that when the donor generation capacity is adjusted to the deaths, the indicator is more reliable for comparisons of countries with different mortality rates. We concluded that the indicators are complementary, because they measure different aspects of the process. To have a better understanding of the situation, country, institution, or hospital, one should simultaneously use all of the indicators.
任何器官获取组织（OPO）的主要目标是提供尽可能多的器官，以降低患者死亡率并缩短等待名单时间。对OPO活动进行评估对于确定潜在捐赠者流失的原因至关重要，以便在易于改进的环节实施变革。在本综述中，我们介绍了脑死亡的经典指标以及新指标。我们观察到，当将捐赠者产生能力与死亡人数进行调整后，该指标对于比较不同死亡率的国家更为可靠。我们得出结论，这些指标是互补的，因为它们衡量了过程的不同方面。为了更好地了解某个国家、机构或医院的情况，应该同时使用所有指标。
