Marloes Witjes1,2, Angela M M Kotsopoulos3, Luuk Otterspoor4, Ingeborg H F Herold4, Koen S Simons5, Karen Woittiez6, Jos J A Eijkenboom7, Johannes G van der Hoeven1, Nichon E Jansen2, Wilson Farid Abdo1. 1. Department of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. 2. Dutch Transplant Foundation, Leiden, The Netherlands. 3. Department of Intensive Care, Elisabeth Tweesteden Hospital, Tilburg, The Netherlands. 4. Department of Intensive Care, Catharina Hospital, Eindhoven, The Netherlands. 5. Department of Intensive Care, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands. 6. Department of Intensive Care, VieCuri Hospital, Venlo, The Netherlands. 7. Department of Intensive Care, Maxima Medical Center, Veldhoven, The Netherlands.
Abstract
BACKGROUND: The aim of this study was to evaluate the implementation process of a multidisciplinary approach for potential organ donors in the emergency department (ED) in order to incorporate organ donation into their end-of-life care plans. METHODS: A new multidisciplinary approach was implemented in 6 hospitals in The Netherlands between January 2016 and January 2018. The approach was introduced during staff meetings in the ED, intensive care unit (ICU), and neurology department. When patients with a devastating brain injury had a futile prognosis in the ED, without contraindications for organ donation, an ICU admission was considered. Every ICU admission to incorporate organ donation into end-of-life care was systematically evaluated with the involved physicians using a standardized questionnaire. RESULTS: In total, 55 potential organ donors were admitted to the ICU to incorporate organ donation into end-of-life care. Twenty-seven families consented to donation and 20 successful organ donations were performed. Twenty-nine percent of the total pool of organ donors in these hospitals were admitted to the ICU for organ donation. CONCLUSIONS: Patients with a devastating brain injury and futile medical prognosis in the ED are an important proportion of the total number of donors. The implementation of a multidisciplinary approach is feasible and could lead to better identification of potential donors in the ED.
BACKGROUND: The aim of this study was to evaluate the implementation process of a multidisciplinary approach for potential organ donors in the emergency department (ED) in order to incorporate organ donation into their end-of-life care plans. METHODS: A new multidisciplinary approach was implemented in 6 hospitals in The Netherlands between January 2016 and January 2018. The approach was introduced during staff meetings in the ED, intensive care unit (ICU), and neurology department. When patients with a devastating brain injury had a futile prognosis in the ED, without contraindications for organ donation, an ICU admission was considered. Every ICU admission to incorporate organ donation into end-of-life care was systematically evaluated with the involved physicians using a standardized questionnaire. RESULTS: In total, 55 potential organ donors were admitted to the ICU to incorporate organ donation into end-of-life care. Twenty-seven families consented to donation and 20 successful organ donations were performed. Twenty-nine percent of the total pool of organ donors in these hospitals were admitted to the ICU for organ donation. CONCLUSIONS:Patients with a devastating brain injury and futile medical prognosis in the ED are an important proportion of the total number of donors. The implementation of a multidisciplinary approach is feasible and could lead to better identification of potential donors in the ED.
Authors: Kapil G Zirpe; Prasad Suryawanshi; Sushma Gurav; Abhijeet Deshmukh; Prajakta Pote; Amit Tungenwar; Ria Malhotra Journal: Indian J Crit Care Med Date: 2020-09
Authors: Angela M Kotsopoulos; Nichon E Jansen; Piet Vos; Marloes Witjes; Meint Volbeda; Jelle L Epker; Hans P C Sonneveld; Koen S Simons; Ewald M Bronkhorst; Hans G van der Hoeven; Wilson F Abdo Journal: Am J Transplant Date: 2020-08-26 Impact factor: 8.086
Authors: Dong Eun Lee; Hyun Kim; Kwi Hwa Park; Song Yi Park; Seung Min Park; Yong Hun Jung; Wonjoon Jeong; Kyung Hye Park Journal: J Korean Med Sci Date: 2021-12-20 Impact factor: 2.153