潜在器官捐献者的便捷评估方法——ABC-HOME

A convenient assessment method of potential donors：ABC-HOME

目的 探讨ABC-HOME方法对潜在器官捐献者进行评估的效果.方法 2013年开始建立潜在器官捐献者上报系统和ABC-HOME评估方法,于2015年2月在解放军广州总医院器官获取组织（OPO）服务区医院试用.统计2014年、2015年2~12月及2016年潜在器官捐献者信息数、实际器官捐献例数、服务区医院重症监护病床数,计算每年每重症监护病床产生潜在器官捐献者数和潜在器官捐献者成功捐献器官例数,并分析未能成功进行器官捐献的原因.结果 2014年、2015年2~12月及2016年分别获上报潜在器官捐献者信息243、474和513例,分别成功进行器官捐献19、38和50例.2015年2~12月和2016年潜在器官捐献者信息数分别较前一年增加95.0%和8.2%.2014年、2015年2~12月及2016年每张重症监护病床产生潜在器官捐献者0.45、0.89和0.96例.2015年2月至2016年12月潜在器官捐献者中捐献成功率为8.92%.未成功捐献原因分别为家属和社会因素、医患关系及沟通因素以及病情因素.结论 ABC-HOME是一种便捷的潜在器官捐献者评估方法,可提高潜在器官捐献者评估效率,有利于增加潜在器官捐献者信息数量.

Objective To explore the efficiency of the ABC-HOME in the rapid identification and assessment of potential donors.Methods We developed a submit system and a rapid assessment method of ABC-HOME for potential donors at 2013.They were on trial in service area hospitals of Guangzou General Hospital Organ Procurement Organization （GHOPO） from February,2015.We reviewed medical records of potential donors occurring in the intensive unit at 2014,from February to December 2015 and 2016,respectively.We examined data on the number of potential donors,actual donors and beds of ICU,and calculated the number of potential donors and actual donors per bed per year.The reasons for donation failure were analyzed.Results 19,38 and 50 organ donations were realized in 243,474 and 513 potential donors in 2014,from February 2015 to December 2015 and 2016,respectively.The growth rate of organ donation and the number of actual donors per bed per year was 95.0%,8.2% and 0.45,0.89 and 0.96,respectively.The conversion rate in these potential donors was 8.92% from February 2015 to December 2016.The reasons for donation failure included the family and social factors,doctor-patient relationship and communication factor and illness condition of donors＆#39; factors.Conclusion ABC-HOME is a convenient assessment method for potential donors,which can help to promote the identification of potential donors and to increase the number of potential donor information.