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TADEUSZ BEDNAREK

APPLICATION OF THE DONOR ACTION PROGRAM TO ASSESS THE DONATING
POTENTIAL OF THE INTENSIVE CARE UNIT AT THE HOSPITAL
IN KOŁOBRZEG

Summary
The aim of this work was to assess the donating potential of the Intensive Care Unit in Kołobrzeg and the role of the Donor Action (DA) program in identifying potential donors of tissues and organs (PDTO). On the basis of available clinical data in the MRR computer database of DA, 222 cases of deceased patients were analyzed out of 747 patients treated at this ICU between 1 January 1999 and 30 September 2002. The deceased patients were classi.ed into groups depending on the time when identification of PDTO was finalized. The results relate to the number of potential and actual donors of organs and present reasons for donor loss. On these grounds the donating potential of the ICU was established. It was further deduced that 6-8 effective donors can be identi.ed per year given the number of beds at this ICU. The main reasons for unexploited potential were delayed identification of PDTO and refusal by next of kin. The results were compared with those from a comparable ICU at the hospital in Opole. A questionnaire was given to 71 hospital employees to gather the views and attitudes to organ transplantation of those whose duties and knowledge are crucial to effective donation. The findings were entered into the HAS database of DA. It was concluded that the DA program can be applied at a standard Polish ICU to develop a donation protocol. A wider understanding of DA rules could increase harvesting of organs needed to save patients with end-stage organ insufficiency.

K e y w o r d s : Donor Action – organ donor – organ procurement – identification of organ donors.

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