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Saudi Journal of Kidney Diseases and Transplantation
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SCOT DATA  
Year : 2021  |  Volume : 32  |  Issue : 2  |  Page : 597-612
Deceased Donation after Brain Death (DBD)


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

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Date of Web Publication11-Jan-2022
 

How to cite this article:
Al Attar B. Deceased Donation after Brain Death (DBD). Saudi J Kidney Dis Transpl 2021;32:597-612

How to cite this URL:
Al Attar B. Deceased Donation after Brain Death (DBD). Saudi J Kidney Dis Transpl [serial online] 2021 [cited 2022 May 24];32:597-612. Available from: https://www.sjkdt.org/text.asp?2021/32/2/597/335482


In this year of 2020, the Critical Pathways of Deceased Organ Donation recorded 408 possible DBD donors, 286 potential, 230 eligible (family approached for organ donation), 74 consents, 65 actual and 63 Utilized donors. Since 1986, the deceased donors recorded were 14,139 possible; 8,810 potential; 7,411 eligible; 2,454 consents and 2,201 actual donors







Possible Deceased Donor

A total of 14,139 possible donors were reported to SCOT from 1986 to 2020 including the 408 donors this year.



Possible donor characteristics demographics this year include age, gender, nationality and cause of death.



Potential Deceased Donors

A total of 8,810 donors were documented by neurological criteria as brain dead from 1986-2020 including the 286 donors this year.



Eligible Deceased Donors (Family Approach for Organ Donation)

A total of 7,411 eligible deceased donors families were approached for organ donation including the 230 donor’s families this year.



Consented Deceased Donors

A total of 2,454 deceased donor’s families consented to donate the organs of their next of kin including the 74 donors this year.



Actual Deceased Donors

Are those deceased donors consented for organ donation (in whom an operative incision was made with the intent of organ recovery). A total of 2,201actual consented deceased donor’s was done including the 65 donors this year while 9 donors were not recovered.



Utilized Deceased Donors

Are those actual deceased donors (from whom at least one organ was transplanted). A total of 2,085 utilized deceased donors were done including the 63 donors this year while 2 donors were non-recovered or organs were discarded.



Deceased Donation Activity Hospital Sharing

In 2020, 120 ICU’s reported possible DBD donors to Saudi Center for Organ Transplantation (SCOT). Over the years, there was an increase in the number of ICUs contributing to this program. These ICU’s were divided into three categories; large (>20 ICU beds), medium (10-20 ICU beds) and small (<10 ICU beds). The top 3 hospital with the most consented cases are mentioned below with their corresponding ICU beds.

Large Hospitals (>20 ICU beds): from this category of hospital ICU’s having more than 20 beds capacity contributed 235 possible donors, documented (potential) 165 donors and utilized 25 organ donors. The top 5 reporting hospitals were the King Saud Medical City Riyadh with 60 possible donors, documented (potential) 53 donors and utilized 14 organ donors, followed by King Abdulaziz Medical City National Guard Riyadh with 30, 27 and 5; Al Noor Specialist Hospital Makkah 17, 7 but had no consented donors, King Khalid Hospital Hail with 15, 3 and but no consent as well and Dammam Medical Complex with 10, 6 and no consents.



Medium Hospitals (10-20 ICU beds): hospital ICU’s having more than 10-20 beds capacity contributed 84 possible donors, documented (potential) 51 donors and utilized 9 organ donors. The top 5 reporting hospitals were the King Fahd Specialist Hospital Qassim with 9 possible donors, documented (potential) 5 donors but none were utilized organ donors, King Fahd Hospital Makkah with 6 possible donors, documented (potential) 5 donors but none were utilized organ donors, King Khalid General Hospital Najran with 6, 1 and 0, Al Mana General Hospital Dammam 5, 5 and 1, King Abdullah Hospital Bisha 5, 3 and 0. In addition, recognizing Maternity Children’s Hospital Buraida with most number of utilized donors in this category.



Small Hospitals (<10 ICU beds): Small hospital ICU’s having less than 10 ICU beds capacity contributed 59 possible donors, documented (potential) 41 donors and utilized 8 organ donors. The top 5 reporting hospitals were Jubail General Hospital with 8 possible, 7 potential but no consent was obtained, Al Hamadi Hospital Swaidi with 8 possible, 7 potential and also no consents, Qateef Central Hospital 5, 3 and 2 utilized donors, King Khalid General Hospital Hafar Al Batin, 3, 3 and 0 and Al Ahsa Hospital 3, 2 and 0.



Hospitals with ICU’s Organ Sharing from GCC Countries

Deceased organ sharing is well established within the GCC countries and this year it had contributed 30 possible donors, documented (potential) 29 donors and utilized 21 organ donors. Most the deceased donors shared to KSA were both from Kuwait and UAE with Kuwait having 16 possible donors, 16 potential and 13 utilized while UAE had 14 possible, 13 potential and 8 utilized donors.



Distribution of consents by region shows that 33 (45%) consents were obtained from the Central region (from 21 MOH hospitals, 6 from Govt. Non-MOH hospitals and 6 from private hospitals). The Eastern region came next with 10 consents which constitutes (5 from MOH hospitals, 1 from Govt.-Non-MOH and 4 from Private). Northern region had 4 consents (3 MOH hospitals and 1 Govt.-Non-MOH). The Western region follows with 3 consents (2 MOH hospitals, and 1 Govt.-Non-MOH). It is also worth noting that hospitals from GCC countries had contributed 24 consents giving a total 74 consents this year.



Organ Transplantation

In year 2020, activities of living donation (LD) and deceased donation (DD) organ transplantation in the Kingdom have significantly decreased due to the COVID-19 pandemic. The organs transplanted were kidneys and liver from living and deceased donors; heart, lungs, pancreas and small bowel from deceased donors in addition to recovered tissues from deceased donors; heart for valves21, bones 42, tendons 36, and corneas 4. In general, 670 were organs were transplanted from living donation, 189 organs were transplanted from 63 actual utilized deceased donors and 103 deceased tissues were recovered.



Kidney Transplantation

Kidney transplantation was done in 16 currently active transplant centers on the Kingdom. Their activities includes 549 kidney transplanted from living related (LR), living unrelated (LUR) and deceased donation wherein, 477 kidneys transplanted from living donors and 72 were transplanted from deceased donors.



It is worth mentioning that a total of 14,190 kidneys were transplanted inside the kingdom from 1979-2020; of these transplantation activities, 9,894 (70%) were from living related, 3,466 (24%) were from deceased donors and 830 (6%) from living unrelated kidney donor.



Liver Transplantation

Liver transplantation was done in 5 out of 6 currently active liver transplant centers in the Kingdom. Their activities yielded a total of 244 livers transplanted from living related (LR), living unrelated (LUR) and deceased donations. Wherein, 193 livers were transplant from living donors and 51 livers transplanted from 47 deceased donors with 4 split liver transplantation performed by the King Faisal Specialist Hospital and Research Center in Riyadh.



It is worth mentioning that a total of 3,066 livers were transplanted inside the kingdom from 1990 to 2020; of these livers, 1,196 (39%) were transplanted from deceased donors, 1,697 (55%) were from living related donors and 173(6%) were from living unrelated donors.



Heart Transplantation

A total of 49 hearts were recovered this year, heart recovery and transplantation was done by 2 currently active transplant centers in the Kingdom. Their activities yielded a total of 28 heart transplant and 21 hearts were recovered as a source of valves (HFV).



It is worth mentioning that a total of 477 hearts has been transplanted from 1986-2020 in addition, 728 hearts were recovered as sources of valves since 1993.



Lung Transplantation

A total of 35 lungs transplanted this year to 20 recipients with 5 lungs transplanted to single recipients and 30 lungs transplanted to 15 recipients via double lung transplants. Lung transplantation was performed by the King Faisal Specialist Hospital and Research Center in Riyadh.



It is worth mentioning that a total of 458 lungs have been transplanted from 1991-2020.





Pancreas Transplantation

A total of 2 pancreas was transplanted this year by 1 out of 2 currently active pancreas transplant centers in the Kingdom. Pancreas transplant was performed by the King Faisal Specialist Hospital & Research Center in Riyadh via Simultaneous Kidney-pancreas Transplant (SKP).



It is worth mentioning that a total of 82 pancreas was transplant in the Kingdom from 1990 to 2020.



Small Intestine

Small intestine transplant was initiated in 2016 by King Faisal Specialist Hospital and Research Center in Riyadh. To date, 8 intestines were transplanted with 1 multivisceral transplantation performed.



Deceased Tissue Donation and Recovery (Bones, Corneas and Musculoskeletal Tissues)

Bones and Musculoskeletal Tissues

Bone donation program from deceased donors was started in the Kingdom by King Faisal Specialist Hospital and Research Center in 2009. In the year 2020, 42 bones and 36 musculoskeletal tissues were recovered inside the Kingdom of Saudi Arabia. It is worth mentioning that 564 bones and 242 musculoskeletal connective tissues (MSKT) were recovered.



Corneal Donation and Procurement

It is worth to mention that there are 10 corneal transplant centers including 3 centers with corneal bank. A total of 612 corneas were imported by King Khalid Eye Specialist Hospitals in addition to 4 recovered corneas from deceased donors.



Deceased Organ Donation and Transplantation between GCC and KSA

Deceased organ sharing between the GCC and KSA is very active with 24 (32%) out of 74 consented deceased donors were from Kuwait and UAE. Of the consented organs donors, 38 solid organs were transplanted and 2 heart for valves were recovered.



And from 1996 to 2020 a total of 414 organs were transplanted from deceased organ sharing including the 17 kidneys transplanted from Spain in 2000-2001.



Summary of Deceased Organ and Tissue Donation and Transplantation Activity in 2020



Cumulative Summary of Deceased Organ and Tissue Donation and Transplantation Activity in 2020



Total number of Deceased Organs Transplanted and Tissues Utilized 1986-2020





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Correspondence Address:
Besher Al Attar
Medical Department, Saudi Center for Organ Transplantation, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-2442.335482

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