Home About us Current issue Back issues Submission Instructions Advertise Contact Login   

Search Article 
  
Advanced search 
 
Saudi Journal of Kidney Diseases and Transplantation
Users online: 314 Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size 
 

Table of Contents   
SCOT DATA  
Year : 2020  |  Volume : 31  |  Issue : 5  |  Page : 1163-1179
Deceased Donation after Brain Death (DBD) and Organ Transplantation


Medical Department, Saudi Center for Organ Transplantation, Riyadh, Saudi Arabia

Click here for correspondence address and email

Date of Web Publication21-Nov-2020
 

How to cite this article:
Al Attar B. Deceased Donation after Brain Death (DBD) and Organ Transplantation. Saudi J Kidney Dis Transpl 2020;31:1163-79

How to cite this URL:
Al Attar B. Deceased Donation after Brain Death (DBD) and Organ Transplantation. Saudi J Kidney Dis Transpl [serial online] 2020 [cited 2020 Dec 2];31:1163-79. Available from: https://www.sjkdt.org/text.asp?2020/31/5/1163/301194


There were 585 deceased heart beating donors (Possible donors) reported to Saudi Center for Organ Transplantation (SCOT) in the year 2019 from 120 hospitals with intensive care units. Of these, 411 donors (70%) were fully documented to have a neurologic determination of death potential donors) based on the National Protocol. Families were approached in 354 cases (86%) (Eligible donors) and consent for organ donation was obtained in 126 cases (36%) from all the diagnosed and approached cases where the families could be contacted and the issue of donation were discussed. In contrast, family refusal for organ donation was 64% from the eligible donors. Out of the 126 consented donors, 114 donors recovered for the purposed of organ transplantation (Actual donor) of which, 113 donors organs were utilized (Utilized donors).


























   Hospital Contributing in Organ Donation Program Top


In 2019, 120 hospitals with ICU's reported 585 possible deceased non-heart beating donors. These hospitals were divided into 3 categories, Large (>20 ICU beds), Medium (10–20 ICU beds) and Small (<10 ICU beds).

Large hospitals (53) with >20 ICU beds reported 385 possible deceased donors (66% of the total reported cases), of which 264 (64%) were fully documented, 56 (44%) were consented for donation and utilized 51 (45%) deceased organ donors. The top 5 reporting hospitals were the King Saud Medical City Riyadh with 70 possible donors, documented (potential) 56 donors and utilized 12 organ donors, followed by King Abdulaziz Medical City National Guard Riyadh with 35, 32 and 7; Dammam Medical Complex 24, 18 and 4; Al Noor Hospital Makkah 23, 11 but had no consented donors, King Fahad University Hospital Al Khobar 17, 17 and 4. King Fahad Hospital Jeddah had reported possible 17 donors, 9 potentials and utilized 2. It is worth mentioning that Sanad Hospital in Riyadh had 7 possible donors, 7 potential and utilized 4 donors making it one the hospitals with most numbers of utilized donors in this category.



Medium hospitals (31) with 10–20 ICU beds, reported 113 possible deceased donors (19%of the total reported cases), of which 68 (17%) were fully documented,23 (18%) were consented for organ donation and 19 (17%) were utilized. The top 5 reporting hospitals were the King Fahad Hospital Hofuf 13 possible donors, documented (potential) 10 donors and utilized 5 organ donors, followed by Prince Meteb Bin Abdulaziz Hospital Al Jouf with 12, 2, but had no consented donors; Buraida Central Hospital with 10, 8 and 2; Saudi German Hospital Riyadh 8, 8, and 2; King Abdullah Medical Complex Jeddah 8,6 and 1. It is worth mentioning that Al Mana General Hospital Dammam had 5, 5, and 2 utilized donors and Al Mana General Hospital Al Ahsa had converted their 2 possible donors to utilized donors making these 2 hospitals with most number of utilized donors in this category.



Small hospitals (22) with less than 10 ICU beds, reported 47 possible deceased donors (8% of the total Possible DD), of which 39 (9%) were fully documented, 9 (7%) were consented for organ donation and 8 (7%) were utilized. The top 5 reporting hospitals were Al Hamadi Hospital Al Suweidi with 6 possible donors, documented (potential) 6 donors and utilized 1 organ donors, followed Al Mowasat Hospital Dammam 6, 5 and 0, Qateef Central Hospital 5, 1 and 1, King Abduziz Hospital National Guard Al Hassa 4, 4, 0 and King Khalid Hospital Hafar Al Batin with 3, 3 and 1.



Gulf Cooperating Council Countries (GCC) contributing in organ donation program were from other GCC countries which had contributed 40 (7%) possible donors, documented (potential) 40 (10%) donors and utilized 35 (31%) organ donors. Most of the deceased donors shared to KSA were from Kuwait with 27 possible donors, 27 potential and 35 utilized, followed by United Arab Emirates with 10, 10 and 10 and Bahrain with 3, 3 and 0 utilized donors.



Distribution of consents by region shows that 50 (40%) consents were obtained from the Central region (from 11 MOH hospitals, 5 from Govt. Non-MOH hospitals and 18 from private hospitals). The Eastern region came next with 31 consents which constitutes (14 from MOH hospitals, 6 from Govt.-Non-MOH and 9 from Private). The Western region follows with 5 consents (2 MOH hospitals, and 2 Govt.-Non-MOH). Northern region had 2 consents both from MOH hospitals. It is also worth noting that hospitals from GCC countries had contributed 36 consents giving a total 126 consents this year.



Distribution of consents by region shows that 50 (40%) consents were obtained from the Central region (from 11 MOH hospitals, 5 from Govt. Non-MOH hospitals and 18 from private hospitals). The Eastern region came next with 31 consents which constitutes (14 from MOH hospitals, 6 from Govt.-Non-MOH and 9 from Private). The Western region follows with 5 consents (2 MOH hospitals, and 2 Govt.-Non-MOH). Northern region had 2 consents both from MOH hospitals. It is also worth noting that hospitals from GCC countries had contributed 36 consents giving a total 126 consents this year.









This year organ transplantation activities have shown that 140 kidneys were transplanted to 137 recipients (3 via enbloc) from deceased organ donors (transplanted by six governmental transplant centers). 74 deceased livers were also transplanted to 78 recipients (4 via split liver transplant) by four governmental transplant centers, (20 at King Abdulaziz Medical City (NGH)-Riyadh, 26 at King Faisal Specialist Hospital-Riyadh including 3 split livers, 29 at King Fahd Specialist Hospital–Dammam with 1 split liver and 3 at Prince Sultan Military Medical City). 46 whole hearts were also transplanted while 30 hearts were recovered as a source of heart for valves. 70 lungs were transplanted to 38 recipients with 32 recipients having double lung transplant and 6 single lung transplant recipients. Other transplanted organs were 8 pancreases and 1 small bowel. Deceased tissue donation was also discussed with the donor's family or next of kin (bones and corneas) of which, 51 bones, 35 musculoskeletal tissues (MSKT) and 9 corneas were recovered.









































Top
Correspondence Address:
Besher Al Attar
Medical Department, Saudi Center for Organ Transplantation, Riyadh
Saudi Arabia
Login to access the Email id


DOI: 10.4103/1319-2442.301194

Rights and Permissions




 

Top
   
 
 
    Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
    Email Alert *
    Add to My List *
* Registration required (free)  
 


 
    Hospital Contrib...
    Organ Transplant...
 

 Article Access Statistics
    Viewed118    
    Printed0    
    Emailed0    
    PDF Downloaded23    
    Comments [Add]    

Recommend this journal