https://scholars.lib.ntu.edu.tw/handle/123456789/193594
標題: | Potential Pool of Non-Heart-Beating Kidney Donors in Taiwan: Chart Review in a Regional Hospital | 作者: | CHUEH, SHIH-CHIEH LAI, MING-KUEN |
關鍵字: | non-heart-heating donor;renal transplantation;RENAL- TRANSPLANTATION;PROGRAM | 公開日期: | 2002 | 卷: | v.101 | 期: | n.6 | 起(迄)頁: | 442-445 | 來源出版物: | JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION | 摘要: | The annual number of renal transplantations performed in Taiwan is strictly limited by the availability of donor organs. One way to expand the donor pool is the use of non- heart-beating (NHB) donors. This study evaluated the potential number of NHB kidney-donors in Taiwan using a retrospective death chart review from a regional hospital in patients who died between January 1 and December 31, 1999. Exclusion criteria were extremities of age, systemic infection, Malignancies other than primary brain tumor, uncontrolled diabetes mellitus, hypertension. kidney disease , or deaths with incomplete records. Detailed biomedical data of potential donors were collected. Of the 840 in- hospital deaths, 258 were in patients aged 3 to 65 years. Among these patients, 52 (6%) did not meet any exclusion criteria and were classified as potential kidney donors. Of these 52 patients, eight (1%) were classified as very suitable donors, defined as no diabetes Mellitus, no hypertension, good renal function ( serum creatinine < 1.3 mg /dL), age less than 50 Nears, acid death in the intensive care unit or emergence service. Twenty-five of the remaining 44 sub-optimal potential donors who did not meet the criteria of very suitable were classified as having high potential to be donors by a combined scoring system (sum score = 5-6). The results suggest that there is a considerable number of potential NHB kidney-donors in Taiwan . Programs to advocate use of NHB kidney donors and education of the public and transplant professionals might significantly increase the number of kidneys available for transplantation in Taiwan. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/97143 |
顯示於: | 醫學系 |
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