2013 - ISODP 2013 Congress

Oral Presentation 6 on Deceased Donor Management

13.1 - SEUSA Program, an international collaborative strategy to increase deceased organ donor activity

Presenter: Maria Paula, Gomez Gomez, Barcelona, Spain
Authors: Maria Paula Gómez Gómez, Martí Manyalich, Xavier Guasch, José Manuel García Buitron, Antonio Fernández, Lesley Roberts, José Ignacio Sánchez, Antoine Stephan, Farida Younan, Francesco Paolo Schena

SEUSA Program, an international collaborative strategy to increase deceased organ donor activity

Maria Paula Gómez Gómez1, Martí Manyalich1, Xavier Guasch1, José Manuel García Buitron2, Antonio Fernández2, Lesley Roberts3, José Ignacio Sánchez4, Antoine Stephan5, Farida Younan5, Francesco Paolo Schena6

1DTI Foundation, Barcelona, Spain, 2Juan Canalejo Hospital, A Coruña, Spain, 3National Organ Transplant Unit (NOTU), Port of Spain, Trinidad and Tobago, 4Regional coordination of transplantations of Aragon, Zaragoza, Spain, 5National Organization for Organ and Tissue Donation and Transplantation (NOOTDT), Beirut, Lebanon, 6Apulia Transplant Regional Center, Azienda Ospedaliero-Universitaria Policlinico di Bari, Bari, Italy

Objective: The SEUSA is a program to improve the organ donation and transplant system based on the best practices of the Spanish, European and USA models. The objective of the present study is to collect evidence of the effectiveness of the SEUSA increasing the deceased organ donation from the experience of implementation in three regions, the South of Italy (La Puglia), Lebanon and Trinidad and Tobago.

Method: The SEUSA includes: 1) Diagnose of the organ donation and transplantation activity through the “Organ Donation Diagnosis Survey” (ODDS); 2) Establishment of the Transplant Procurement Management Team; 3) Implementation of the “Deceased Alert System” (DAS); 4) Application of the “Essential in Organ Donation” (EOD) and 5) Hospital Audit. Monthly monitoring meetings to make needed adjustments based on the specific characteristics of the country are done. The program also contributes with the definition of specific economic funds direct to the procurement system.

Results: SEUSA-Apulia started in 2007 and after three years of implementation, comparing to the data from the three previous years of the project  (2005-2006-2007) we found an increase of 36.5% of brain death diagnose (83 vs. 113.3) and the total number of donors increased to 47% (89 vs. 131). SEUSA-Lebanon started in 2009. So far, SEUSA has increased Lebanon’s donation rate from 0 to 2.5 PMP and it has been possible to implement the cornea donation program, obtaining 90 cornea donors. SEUSA-Trinidad and Tobago is currently being implemented and started on July 2010. During the first year of DAS 161 alerts of possible DBD and DCD happened, from them 17 Brain death were diagnosed.

Conclusion: The SEUSA has contributed to the improvement of the organ donation/transplant system in the three regions. In addition, it may represent an example of valuable and replicable strategy to ameliorate organ and tissue activity in other countries.

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