Hospital model development donor in a public hospital in Argentina

Pablo Centeno^1,2, Matias Anchorena^1,2, Julian Juarez^1,2, Marco Flores^1,2, Matias Willig^1,2, Leonardo Del Rio^1,2, Adrian Tarditti², Mariana Casalins^1,2

¹HZGA Simplemente Evita, Gonzalez Catàn, Argentina, ²CUCAIBA, INCUCAI, Buenos Aires, Argentina

Because efforts to increase organ and tissue donation in Argentina, growth in donation rate has increased slowly but steadily in recent years. However, it is observed that not all health centers participating in the activity and that most of those who develop donor policies tend to complete a cycle of increase, plateau, decline and disappearance in the generation of donors. This cycle lasts about five years.

A medium-complexity hospital located in an area of ​​extreme poverty and history contrary to the donation has developed a program based on quality of care, collaboration with the bereaved family, specially trained human resources and focus in the intensive care unit as the key to detect potencial donnors.The result was:

Continuous increase in organ and tissue donation in the last ten years. [1]. Annual donors fivefold in ten years, while growth in the country was fifty percent.

Negative to donation rate less than 3% in last two years (In the same period, national rate was close to 35%) [1]

Loss of donors due to missed detections close to 10%, including cardiac arrest deceased. The estimated national rate of missed detection is over 50% for potential beating heart donors and over 90% for post cardiac arrest.

Supporting these results over time despite a turnover of health personnel for a period of ten years, maximizing donation rate the last four.

These results have led the national procurement and transplantation to use (the catan’s model) as a role model for the rest of the country’s institutions.

Figure 1

Figure 2