Donation in the Cardiology Hospital No. 34
Main Article Content
Keywords
Tissue and organ procurement, Tissues, Program Evaluation
Abstract
Background: Chronic degenerative diseases have become a challenge for the Mexican health system. Faced with this problem, health institutions have focused on the therapeutic potential of organ and tissue donation and transplantation.
Objective: To analyze the experience of the donation program and to identify areas of opportunity at the Hospital de Cardiología No. 34 (Hospital of Cardiology Number 34), in Monterrey, Nuevo León, Mexico.
Material and methods: Observational, cross-sectional, and retrospective study. The study population was made up by deaths and successful interviews. Only groupings with values of p < 0.05 were considered statistically significant.
Results: A global of 1947 deaths were registered and a total of 210 interviews were carried out; 83 (39.5%) family members accepted to donate and 127 (60.5%) refused to donate. Only 3 associations between variables had significant statistical value. The year was an important determinant in the increase in effective donations (p = 0.010), and so was the month of the year (p = 0.037), obtaining more positive interviews in the second half of the year; finally, the shift also contributed to the family response (p = 0.012), with the morning shift being the best shift to conduct a successful family interview.
Conclusions: It is imperative to conduct studies that analyze and describe the experience of donation programs to promote and encourage the value of donation.
References
Instituto Nacional de Estadística y Geografía [Internet]. Población; 2015 [actualizado el 25 de febrero de 2020; consultado el 27 de diciembre de 2020]. [aprox. 5 pantallas]. Disponible en: https://www.inegi.org.mx/temas/estructura/
Mathers C, Murray CJL, Lopez AD, Salomon JA, Sadana R, Tandon A et al. Estimates of healthy life expectancy for 191 countries in the year 2000: methods and results. Global Programme on Evidence for Health Policy Discussion Paper No. 38 [Internet]. Ginebra: WHO; noviembre de 2001 [consultado el 27 de diciembre de 2020]. Disponible en: https://www.who.int/healthinfo/paper38.pdf
Barba‑Evia JR. México y el reto de las enfermedades crónicas no transmisibles. El laboratorio también juega un papel importante. Rev Latinoam Patol Clin Med Lab. 2018;65(1):4-17.
Instituto Nacional de Estadística y Geografía [Internet]. Comunicado de Prensa Núm.538/19 Características de las defunciones registradas en México durante 2018. México: INEGI; 31 de octubre de 2019 [consultado el 27 de diciembre de 2020]. [página 1]. Disponible en: https://www.inegi.org.mx/contenidos/saladeprensa/boletines/2019/EstSociodemo/DefuncionesRegistradas2019.pdf
Alonso M, Álvarez-Miranda M, Álvarez-Vázquez M, Aranzábal J, Ayestarán JI, Benito JR et al. El modelo español de Coordinación y Trasplantes [Internet]. Segunda edición. España: ONT; 2008 [consultado el 27 de diciembre de 2020]. Disponible en: http://www.ont.es/publicaciones/Documents/modeloespanol.pdf
Secretaría de Salud. Programa de Acción Específico Donación y Trasplante de Órganos y Tejidos Programa Sectorial de Salud 2013-2018 [Internet]. México: SSA; 2014. [consultado el 27 de diciembre de 2020]. Disponible en: http://cenatra.salud.gob.mx/transparencia/descargas/pae_2013_2018.pdf
Global Observatory on Donation and Transplantation [Internet]. International Report on Organ Donation and Transplantation Activities Executive Summary. GOCT; 2007 [actualizado el 27 de diciembre 2020; consultado el 27 diciembre de 2020]. Disponible en: http://www.transplant-observatory.org/download/2017-activity-data-report/
Centro Nacional de Trasplantes [Internet]. Reporte anual 2019 de donación y trasplantes en México. México: CENATRA; 3 de enero de 2020 [consultado el 27 de diciembre de 2020]. Disponible en: https://www.gob.mx/cms/uploads/attachment/file/528301/Presentacion_anual_2019.pdf
Garralda A, Epelde A, Iturralde O, Compains E, Maison C, Altarriba M et al. Trasplante de córnea. An Sist Sanit Navar. 2006;29 Supl 2:163-73.
Michaeli-Cohen A, Lambert A, Coloma F, Rootman D. Two Cases of a Penetrating Keratoplasty With Tissue From a Donor Who Had Undergone LASIK Surgery. Cornea. 2002;21(1):111‑3.
Armour R, Ousley P, Wall J, Hoar K, Stoeger C, Terry M. Endothelial Keratoplasty Using Donor Tissue Not Suitable for Full-Thickness Penetrating Keratoplasty. Cornea. 2007;26(5):515-9.
Phillips P, Terry M, Shamie N, Chen E, Hoar K, Stoeger C et al. Descemetʼs Stripping Automated Endothelial Keratoplasty (DSAEK) Using Corneal Donor Tissue Not Acceptable for Use in Penetrating Keratoplasty as a Result of Anterior Stromal Scars, Pterygia, and Previous Corneal Refractive Surgical Procedures. Cornea. 2009;28(8):871‑6.
Organización Nacional de Trasplantes. Plan Estratégico en Donación y Trasplante de Órganos 2018-2022 Sistema Español de Donación y Trasplante [Internet]. España: ONT; septiembre de 2018 [consultado el 27 de diciembre de 2020]. Disponible en: http://www.ont.es/infesp/Documents/PLAN%20ESTRAT%C3%89GICO%20DONACI%C3%93N%20Y%20TRASPLANTE%20DE%20%C3%93RGANOS%202018-2022.pdf
Zier J, Spaulding A, Finch M, Verschaetse T, Tarrago R. Improved Time to Notification of Impending Brain Death and Increased Organ Donation Using an Electronic Clinical Decision Support System. American Journal of Transplantation. 2017;17(8):2186-91.
Simpkin A, Robertson L, Barber V, Young J. Modifiable factors influencing relatives' decision to offer organ donation: systematic review. BMJ. 2009;338:b991.
Jacoby L, Crosier V, Pohl H. Providing support to families considering the option of organ donation: an innovative training method. Progress in Transplantation. 2006;16(3):247-52.
Lira G, Pontes C, Schirmer J, Lima L. Family considerations about the decision to refuse organ donation. Acta Paulista de Enfermagem. 2012;25(spe2):140-5.
Matesanz R. Factors influencing the adaptation of the Spanish Model of organ donation. Transplant International. 2003;16(10):736-41.
Article Sidebar
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors retain their copyright and grant the Revista Médica del IMSS the right of first publication. Articles are distributed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which allows sharing as long as the author and the original source are properly credited.