2013 - ISODP 2013 Congress

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Mini-Oral 3 Technical Advances

10.7 - Scoping study into the potential eye and tissue donor pool at the Royal Melbourne Hospital.

Presenter: Tom, Rechnitzer, Parkville, Australia
Authors: Martin Dutch, Tracey Mackay, Tom Rechnitzer

Scoping study into the potential eye and tissue donor pool at the Royal Melbourne Hospital.

Martin Dutch1,2, Tracey Mackay2, Tom Rechnitzer

1Emergency Department, Royal Melbourne Hospital, Melbourne, Australia, 2Organ and Tissue Donation Team, Royal Melbourne Hospital, Melbourne, Australia

Introduction:   Eye and Tissue donation has the capacity to significantly improve the quality of life for recipients, and in some cases is a live saving intervention.  Improvements in public health  have seen a reduction in the amount of banked tissue from traditional coronial sources.  Non-Coronial eye and tissue donations are thus an increasingly important source for tissue within the state of Victoria, Australia. Methods: The Royal Melbourne Hospital (RMH)  is a tertiary, teaching, referral hospital that  provides general medical, surgical and specialist services A retrospective scoping study was undertaken to analyse the size of the potential, isolated eye and tissue donor pool within RMH.  The last 5 years of hospital deaths were electronically reviewed. For each in hospital death,  all separations which occurred over the preceding 5 years were screened using International Classification of Disease codes.  Cases were screened positive for potential eye or tissue donation if they met both age criteria (<80yrs), and had no record of specific exclusion diagnoses. Results: Between 2008-2012,  5,091 patients died in the hospital. Deaths most commonly occurred in the ICU and pallative care wards. Approximately 32%  of all deaths occured “in hours” (M-F, 8am-4pm). The screening tool identified 2231 potential isolated eye donors, and 930 potential isolated tissue donors. A random selection of identified patients were audited (n=24). The positive predictive value (PPV) for the eye screening tool was 71%, the PPV for the tissue screening tool was 25%. Discussion: Each year over 1000 patients die at the RMH. The screening tool identified 9 eye, and 4 tissue potential donors/wk. An in hours, eye and tissue donor referral program, with a consent rate of 50%, could realise approximately 50 eye donors and 7 tissue donors each year. This increased, non-coronial source of tissue could significantly bolster banked tissue stores.

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