| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 528.5 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: Uma vez que atualmente se verifica escassez de órgãos para doação para um número cada vez maior de pacientes com falências orgânicas no contexto de doenças crónicas, todos os esforços devem ser feitos no sentido de aprimorar o processo doação e colmatar falhas até então descritas.
Objetivos: Caracterizar todos os óbitos verificados na Unidade de AVC (UAVC) e Serviço de Urgência (SU) do Centro Hospitalar Cova da Beira, entre 2008 e 2014 inclusive, quanto à natureza da lesão causadora de morte, ao processo de progressão fatal e ao momento de diagnóstico (efetivo ou virtual) de morte cerebral; identificar o número de casos com possibilidade de diagnóstico de morte cerebral e sem exclusões à partida para doação, definindo assim o efetivo potencial de doação; identificar o número de casos com diagnóstico de morte cerebral e concretização de processo de doação de órgãos.
Método: : Estudo epidemiológico retrospetivo, descritivo, orientado a partir da análise de todos os óbitos na UAVC e SU entre 2008 e 2014, respetivamente 153 e 658, perfazendo um total de 811 casos.
Resultados: Demograficamente, a idade dos potenciais dadores variou entre 19 e 104 anos.
Dos 811 casos, verificou-se que 136 (˜16.77%) seriam, à partida, aptos para doação.
Em relação aos dadores de critérios expandidos, cerca de 125 dos 136 potenciais dadores (˜91.91%) encontravam-se com idade acima dos 60 anos.
Discussão: A partir da análise dos resultados foi possível concluir que existem muitos casos passíveis de se tornarem dadores.
Esta avaliação primordial é essencial para se identificarem potenciais dadores e desta forma aumentar o número de doações em Portugal, de forma a combater a carência cada vez mais pronunciada.
Introduction: Since we currently verify shortage of organs for donation for a total increasing number of patients with organ failure in the context of chronic disease, every effort should be made to improve the donation process and bridge failures so far described. Objectives: To characterize all deaths recorded in the Stroke Unit and Emergency Service of the Hospital Cova da Beira, between 2008 and 2014, including the nature of the cause of death, the fatal progression process and time of diagnosis (actual or virtual) of brain death; identify the number of cases of possible diagnosis of brain death and without exclusions to departure for donation, thus defining the potential effective donation; identify the number of cases diagnosed with brain death and implementation of organ donation process. Method: A descriptive, retrospective epidemiological study, driven by the analysis of all deaths in Stroke Unit and Emergency Service between 2008 and 2014, which accounts for a total 811 cases. Results: Demographically, the age of potential donors ranged between 19 and 104 years. Of the 811 cases, it was found that 136 (˜16.77%) would be, in principle, suitable for donation. To donors of expanded criteria, about 125 of the 136 potential donors (˜91.91%) were in the age above 60 years. Discussion: From the analysis of the results it was concluded that there are many cases likely to become donors. This primary assessment is essential to identify potential donors and thus increase the number of donations in Portugal, in order to combat the increasingly pronounced lack.
Introduction: Since we currently verify shortage of organs for donation for a total increasing number of patients with organ failure in the context of chronic disease, every effort should be made to improve the donation process and bridge failures so far described. Objectives: To characterize all deaths recorded in the Stroke Unit and Emergency Service of the Hospital Cova da Beira, between 2008 and 2014, including the nature of the cause of death, the fatal progression process and time of diagnosis (actual or virtual) of brain death; identify the number of cases of possible diagnosis of brain death and without exclusions to departure for donation, thus defining the potential effective donation; identify the number of cases diagnosed with brain death and implementation of organ donation process. Method: A descriptive, retrospective epidemiological study, driven by the analysis of all deaths in Stroke Unit and Emergency Service between 2008 and 2014, which accounts for a total 811 cases. Results: Demographically, the age of potential donors ranged between 19 and 104 years. Of the 811 cases, it was found that 136 (˜16.77%) would be, in principle, suitable for donation. To donors of expanded criteria, about 125 of the 136 potential donors (˜91.91%) were in the age above 60 years. Discussion: From the analysis of the results it was concluded that there are many cases likely to become donors. This primary assessment is essential to identify potential donors and thus increase the number of donations in Portugal, in order to combat the increasingly pronounced lack.
Description
Keywords
Dadores de Critérios Expandidos. Morte Cerebral Trasplantação