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The transplantation donation process in the Centro de Investigaciones Medico Quirurgicas of Cuba: 1999-2002.
Abdo, A; Ugarte, J C; Castellanos, R; González, L; López, O; Hernández, J C; Valdivia, J; Almora, E; Suárez, O; Diaz, J; Collera, S; Enamorado, A; Vázquez, A; Beníte, P; Dominguez, J; Wilford, M; Falcon, J.
Afiliação
  • Abdo A; Centro de Investigaciones Medico Quirurgicas, Unidad de Cuidados Intensivos, Servicio de Trasplantes, Ciudad Habana, Cuba. aaabdo@cimeq.sld.cu
Transplant Proc ; 35(5): 1636-7, 2003 Aug.
Article em En | MEDLINE | ID: mdl-12962738
OBJECTIVE: In 1998 in the Centro de Investigaciones Medico Quirurgicas the Transplant Coordination Office (TCO) was created, with the aim to organize a system to support a hepatic transplantation program. This organization, which changed the transplantation-donation process not only in our center but in the whole country, is described in this article. METHOD: The files of donors generated in our hospital were studied together with the transplant coordination records, from 1999 till the first half of 2002. RESULTS: In the period studied, 21 potential donors were diagnosed with brain death, yielding a donation rate of 71.4%. Brain death was most frequently caused by vascular brain disease; however, in the realized donor group, the cranioencephalic trauma predominated. The typical donor was a man of average age 39.2 years (range, 18-86 years). Among the potential donors, 24% were excluded based on medical criteria, and 5% due to family objections. Forty liver transplantation were performed in 36 patients including 1 liver-kidney simultaneous procedure. The principal etiologies for transplant included hepatitis C virus cirrhosis, 22%; alcoholic, 19%; and acute hepatic failure, 13%. Kidney transplantations were performed in 70 patients, including 41 from cadaveric donors (53.6%) and 29 from living related donors (41.4%). In 2001, a pancreas-kidney transplantation program was started. CONCLUSION: The creation of the TCO has been of paramount importance to optimize transplantation program functions.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doadores de Tecidos / Obtenção de Tecidos e Órgãos Limite: Adolescent / Adult / Aged / Aged80 / Humans / Middle aged País/Região como assunto: Caribe / Cuba Idioma: En Revista: Transplant Proc Ano de publicação: 2003 Tipo de documento: Article País de afiliação: Cuba País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doadores de Tecidos / Obtenção de Tecidos e Órgãos Limite: Adolescent / Adult / Aged / Aged80 / Humans / Middle aged País/Região como assunto: Caribe / Cuba Idioma: En Revista: Transplant Proc Ano de publicação: 2003 Tipo de documento: Article País de afiliação: Cuba País de publicação: Estados Unidos