Elements of a successful hospital-based deceased donation programme in India: Zero to eighty-five in two years
Background. Legislation has made organ donation after brain death (DBD) possible in India since 1994. However, no organs are donated in most parts of the country; the national organ donation rate is estimated at between 0.08 and 0.34 donors per million population-one of the lowest in the world. Meth...
Gespeichert in:
| Veröffentlicht in: | The National medical journal of India 2018-07, Vol.31 (4), p.201-205 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 205 |
|---|---|
| container_issue | 4 |
| container_start_page | 201 |
| container_title | The National medical journal of India |
| container_volume | 31 |
| creator | Thomas, Philip Aswathy, C Joshy, George Mathew, Jacob |
| description | Background. Legislation has made organ donation after brain death (DBD) possible in India since 1994. However, no organs are donated in most parts of the country; the national organ donation rate is estimated at between 0.08 and 0.34 donors per million population-one of the lowest in the world.
Methods. A 350-bedded private hospital in Kochi started its DBD programme in September 2013 with a structured approach based on counselling of family members of critically ill individuals. A counsellor trained to diagnose family dynamics, and recognize different stages of the grieving process, chose the right time, and the correct family member to whom the donation request could be made. Regular debriefing sessions of the core team consisting of a transplant surgeon, a transplant coordinator, an ICU counsellor and a unit administrator resulted in setting up systems that supported families of patients with catastrophic brain injury, and created an environment conducive to obtaining consent.
Results. A total of 85 organ donations took place in the first 24 months (September 2013 to September 2015) of instituting the programme.
Conclusion. It is possible with hospital-based teamwork and a structured approach to consistently elicit organ donation. |
| doi_str_mv | 10.4103/0970-258X.258217 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2232122515</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A586780229</galeid><sourcerecordid>A586780229</sourcerecordid><originalsourceid>FETCH-LOGICAL-c484s-edbcdc167b1728673a8a6d04ce03065ebdb0e080fb49e8a78c0dca61bfd8abf53</originalsourceid><addsrcrecordid>eNptkl1rFDEUhgdRbK3eeyUBQbyZNR_zkfWulqqFgjcK4k3IJCe7aTPJmmRc9t-bcdu6KxJIDifP-3KSc6rqJcGLhmD2Di97XNOWf1-UjZL-UXX6kHp8EJ9Uz1K6wbhjpCVPqxNGCGuWlJ1W_tLBCD4nFAySKE1KQUpmcmgd0sZm6epBJtBIg4J9ELzMNni0iWEV5TgCsh5deW3le_QDYkA5ILCrdd7Vxv76c5u3Ae1AxvS8emKkS_Di7jyrvn28_Hrxub7-8unq4vy6Vg1vUg16UFqRrh9IT3nXM8llp3GjADPctTDoAQPm2AzNErjsucJayY4MRnM5mJadVW_3vqXInxOkLEabFDgnPYQpCUoZJZS2ZEZf_4PehCn6Ut1MYV7-iiz_UivpQFhvQo5SzabivC0VckzpTC3-Q5WlYbQqeDC25I8Ebw4Ea5Aur1Nw0_zB6RjEe1DFkFIEIzbRjjLuBMFingUxN1vMzRb7WSiSV3cPm4YR9IPgvvkF-LAHtsFliOnWTVuIorC3PmyPjOsDY0ExEfdjw34DhTXC-w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2230831119</pqid></control><display><type>article</type><title>Elements of a successful hospital-based deceased donation programme in India: Zero to eighty-five in two years</title><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Thomas, Philip ; Aswathy, C ; Joshy, George ; Mathew, Jacob</creator><creatorcontrib>Thomas, Philip ; Aswathy, C ; Joshy, George ; Mathew, Jacob</creatorcontrib><description>Background. Legislation has made organ donation after brain death (DBD) possible in India since 1994. However, no organs are donated in most parts of the country; the national organ donation rate is estimated at between 0.08 and 0.34 donors per million population-one of the lowest in the world.
Methods. A 350-bedded private hospital in Kochi started its DBD programme in September 2013 with a structured approach based on counselling of family members of critically ill individuals. A counsellor trained to diagnose family dynamics, and recognize different stages of the grieving process, chose the right time, and the correct family member to whom the donation request could be made. Regular debriefing sessions of the core team consisting of a transplant surgeon, a transplant coordinator, an ICU counsellor and a unit administrator resulted in setting up systems that supported families of patients with catastrophic brain injury, and created an environment conducive to obtaining consent.
Results. A total of 85 organ donations took place in the first 24 months (September 2013 to September 2015) of instituting the programme.
Conclusion. It is possible with hospital-based teamwork and a structured approach to consistently elicit organ donation.</description><identifier>ISSN: 0970-258X</identifier><identifier>EISSN: 0970-258X</identifier><identifier>DOI: 10.4103/0970-258X.258217</identifier><identifier>PMID: 31134923</identifier><language>eng</language><publisher>India: All India Institute of Medical Sciences</publisher><subject>Blood & organ donations ; Brain death ; Consent ; Counseling ; Documentation ; Family ; Family relations ; Grief ; Hospital patients ; Hospital services ; Hospitals ; Intensive care ; Laws, regulations and rules ; Management ; Mission statements ; Neurology ; Neurosurgery ; Organ transplantation ; Patients ; Physicians ; Public schools ; Statistics ; Surgeons ; Tissue donation ; Transplants & implants ; Trauma</subject><ispartof>The National medical journal of India, 2018-07, Vol.31 (4), p.201-205</ispartof><rights>COPYRIGHT 2018 Medknow Publications and Media Pvt. Ltd.</rights><rights>Copyright All India Institute of Medical Sciences Jul/Aug 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484s-edbcdc167b1728673a8a6d04ce03065ebdb0e080fb49e8a78c0dca61bfd8abf53</citedby><cites>FETCH-LOGICAL-c484s-edbcdc167b1728673a8a6d04ce03065ebdb0e080fb49e8a78c0dca61bfd8abf53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31134923$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thomas, Philip</creatorcontrib><creatorcontrib>Aswathy, C</creatorcontrib><creatorcontrib>Joshy, George</creatorcontrib><creatorcontrib>Mathew, Jacob</creatorcontrib><title>Elements of a successful hospital-based deceased donation programme in India: Zero to eighty-five in two years</title><title>The National medical journal of India</title><addtitle>Natl Med J India</addtitle><description>Background. Legislation has made organ donation after brain death (DBD) possible in India since 1994. However, no organs are donated in most parts of the country; the national organ donation rate is estimated at between 0.08 and 0.34 donors per million population-one of the lowest in the world.
Methods. A 350-bedded private hospital in Kochi started its DBD programme in September 2013 with a structured approach based on counselling of family members of critically ill individuals. A counsellor trained to diagnose family dynamics, and recognize different stages of the grieving process, chose the right time, and the correct family member to whom the donation request could be made. Regular debriefing sessions of the core team consisting of a transplant surgeon, a transplant coordinator, an ICU counsellor and a unit administrator resulted in setting up systems that supported families of patients with catastrophic brain injury, and created an environment conducive to obtaining consent.
Results. A total of 85 organ donations took place in the first 24 months (September 2013 to September 2015) of instituting the programme.
Conclusion. It is possible with hospital-based teamwork and a structured approach to consistently elicit organ donation.</description><subject>Blood & organ donations</subject><subject>Brain death</subject><subject>Consent</subject><subject>Counseling</subject><subject>Documentation</subject><subject>Family</subject><subject>Family relations</subject><subject>Grief</subject><subject>Hospital patients</subject><subject>Hospital services</subject><subject>Hospitals</subject><subject>Intensive care</subject><subject>Laws, regulations and rules</subject><subject>Management</subject><subject>Mission statements</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Organ transplantation</subject><subject>Patients</subject><subject>Physicians</subject><subject>Public schools</subject><subject>Statistics</subject><subject>Surgeons</subject><subject>Tissue donation</subject><subject>Transplants & implants</subject><subject>Trauma</subject><issn>0970-258X</issn><issn>0970-258X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptkl1rFDEUhgdRbK3eeyUBQbyZNR_zkfWulqqFgjcK4k3IJCe7aTPJmmRc9t-bcdu6KxJIDifP-3KSc6rqJcGLhmD2Di97XNOWf1-UjZL-UXX6kHp8EJ9Uz1K6wbhjpCVPqxNGCGuWlJ1W_tLBCD4nFAySKE1KQUpmcmgd0sZm6epBJtBIg4J9ELzMNni0iWEV5TgCsh5deW3le_QDYkA5ILCrdd7Vxv76c5u3Ae1AxvS8emKkS_Di7jyrvn28_Hrxub7-8unq4vy6Vg1vUg16UFqRrh9IT3nXM8llp3GjADPctTDoAQPm2AzNErjsucJayY4MRnM5mJadVW_3vqXInxOkLEabFDgnPYQpCUoZJZS2ZEZf_4PehCn6Ut1MYV7-iiz_UivpQFhvQo5SzabivC0VckzpTC3-Q5WlYbQqeDC25I8Ebw4Ea5Aur1Nw0_zB6RjEe1DFkFIEIzbRjjLuBMFingUxN1vMzRb7WSiSV3cPm4YR9IPgvvkF-LAHtsFliOnWTVuIorC3PmyPjOsDY0ExEfdjw34DhTXC-w</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Thomas, Philip</creator><creator>Aswathy, C</creator><creator>Joshy, George</creator><creator>Mathew, Jacob</creator><general>All India Institute of Medical Sciences</general><general>Medknow Publications and Media Pvt. Ltd</general><general>Scientific Scholar</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>04Q</scope><scope>04T</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180701</creationdate><title>Elements of a successful hospital-based deceased donation programme in India: Zero to eighty-five in two years</title><author>Thomas, Philip ; Aswathy, C ; Joshy, George ; Mathew, Jacob</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484s-edbcdc167b1728673a8a6d04ce03065ebdb0e080fb49e8a78c0dca61bfd8abf53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Blood & organ donations</topic><topic>Brain death</topic><topic>Consent</topic><topic>Counseling</topic><topic>Documentation</topic><topic>Family</topic><topic>Family relations</topic><topic>Grief</topic><topic>Hospital patients</topic><topic>Hospital services</topic><topic>Hospitals</topic><topic>Intensive care</topic><topic>Laws, regulations and rules</topic><topic>Management</topic><topic>Mission statements</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>Organ transplantation</topic><topic>Patients</topic><topic>Physicians</topic><topic>Public schools</topic><topic>Statistics</topic><topic>Surgeons</topic><topic>Tissue donation</topic><topic>Transplants & implants</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thomas, Philip</creatorcontrib><creatorcontrib>Aswathy, C</creatorcontrib><creatorcontrib>Joshy, George</creatorcontrib><creatorcontrib>Mathew, Jacob</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>India Database</collection><collection>India Database: Health & Medicine</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>The National medical journal of India</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thomas, Philip</au><au>Aswathy, C</au><au>Joshy, George</au><au>Mathew, Jacob</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elements of a successful hospital-based deceased donation programme in India: Zero to eighty-five in two years</atitle><jtitle>The National medical journal of India</jtitle><addtitle>Natl Med J India</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>31</volume><issue>4</issue><spage>201</spage><epage>205</epage><pages>201-205</pages><issn>0970-258X</issn><eissn>0970-258X</eissn><abstract>Background. Legislation has made organ donation after brain death (DBD) possible in India since 1994. However, no organs are donated in most parts of the country; the national organ donation rate is estimated at between 0.08 and 0.34 donors per million population-one of the lowest in the world.
Methods. A 350-bedded private hospital in Kochi started its DBD programme in September 2013 with a structured approach based on counselling of family members of critically ill individuals. A counsellor trained to diagnose family dynamics, and recognize different stages of the grieving process, chose the right time, and the correct family member to whom the donation request could be made. Regular debriefing sessions of the core team consisting of a transplant surgeon, a transplant coordinator, an ICU counsellor and a unit administrator resulted in setting up systems that supported families of patients with catastrophic brain injury, and created an environment conducive to obtaining consent.
Results. A total of 85 organ donations took place in the first 24 months (September 2013 to September 2015) of instituting the programme.
Conclusion. It is possible with hospital-based teamwork and a structured approach to consistently elicit organ donation.</abstract><cop>India</cop><pub>All India Institute of Medical Sciences</pub><pmid>31134923</pmid><doi>10.4103/0970-258X.258217</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0970-258X |
| ispartof | The National medical journal of India, 2018-07, Vol.31 (4), p.201-205 |
| issn | 0970-258X 0970-258X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2232122515 |
| source | EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Blood & organ donations Brain death Consent Counseling Documentation Family Family relations Grief Hospital patients Hospital services Hospitals Intensive care Laws, regulations and rules Management Mission statements Neurology Neurosurgery Organ transplantation Patients Physicians Public schools Statistics Surgeons Tissue donation Transplants & implants Trauma |
| title | Elements of a successful hospital-based deceased donation programme in India: Zero to eighty-five in two years |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T12%3A07%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Elements%20of%20a%20successful%20hospital-based%20deceased%20donation%20programme%20in%20India:%20Zero%20to%20eighty-five%20in%20two%20years&rft.jtitle=The%20National%20medical%20journal%20of%20India&rft.au=Thomas,%20Philip&rft.date=2018-07-01&rft.volume=31&rft.issue=4&rft.spage=201&rft.epage=205&rft.pages=201-205&rft.issn=0970-258X&rft.eissn=0970-258X&rft_id=info:doi/10.4103/0970-258X.258217&rft_dat=%3Cgale_proqu%3EA586780229%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2230831119&rft_id=info:pmid/31134923&rft_galeid=A586780229&rfr_iscdi=true |