Distribution of potential eye and tissue donors within an Australian teaching hospital
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Distribution of potential eye and tissue donors within an Australian teaching hospital Martin J. Dutch
. Anthony F. Denahy
Received: 13 June 2017 / Accepted: 6 December 2017 Ó Springer Science+Business Media B.V., part of Springer Nature 2017
Abstract Eye and Tissue donation has the capacity to transform lives, yet the vast majority of potential inhospital donors are not recognised. Studies which describe the relative importance of specific units or wards in determining the size of the donor pool are limited. The aim of this study was to map the distribution of potential Eye and Tissue donors within the study hospital. A 12-month retrospective analysis of all patient deaths at the study hospital was undertaken. The ability to donate corneal, heart valve, bone and skin tissue was investigated. Patients were classified as potential donors if they met specific age criteria and had an absence of contraindications based on electronic database search. There were 985 deaths during the study period. Deaths occurred under the care of 26 separate clinical units, and within 28 unique wards and treatment spaces. Four hundred and forty nine (45.6%) patients were identified as potential eye or tissue donors. The majority of potential donors occurred in ICU, Emergency and palliative care units. Of the subset of 328 deaths B 70 years, the frequency of potential tissue donors was 55% (n = 181). ED and ICU had significantly higher frequencies of potential M. J. Dutch (&) Organ and Tissue Donation Team, Royal Melbourne Hospital, Parkville, VIC 3000, Australia e-mail: [email protected] A. F. Denahy Business Intelligence Unit, Royal Melbourne Hospital, Parkville, VIC 3000, Australia
donor than other wards (86 and 77%, p \ 0.01). The current study has identified the ED, ICU and PCUs are being important sites for potential Eye and Tissue Donors within our hospital. These will provide an important focus for future interventions to improve the rate of eye and tissue donation. Keywords Tissue donation Tissue procurement Tissue donors/supply and distribution Tissue and organ procurement/statistics and numerical data Hospitals/statistics and numerical data
Introduction Eye and Tissue donation has the capacity to transform lives, yet in Australia the vast majority of potential donors are not recognised and access to this important therapeutic option is constrained by supply. The therapeutic use of biological tissues continues to expand in Australia. Currently there are approximately 90 allografts listed on the Australian Therapeutic Goods Register. These include grafts derived from donated human corneas, sclera, whole eye preparations, heart valve, pericardium, bone, skin and other musculoskeletal tissues (Therapeutic Goods Administration 2016). Unlike Organ donation, a sizable proportion of the population can be eye or tissue donors. One in 2
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Australians die within a hospital environment, and half of all Australians die at an age which would permit at least corneal donation (Australia Bueraeu of Stat
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