잠재 뇌사자에서 성공적 장기 기증과 기증 동의와 관련된 인자
= Influencing Factors Affecting Successful Organ Donation and Families` Consent to Donate after Drain Death.

• • 저자명

    이은우 ( Eun Woo Lee ) , 장혜연 ( Hye Yeon Jang ) , 한상엽 ( Sang Youb Han ), 한금현 ( Kum Hyun Han ) , 오세원 ( Se Won Oh ) , 노영남 ( Young-nam Roh )

  • 학술지명

    大韓移植學會誌(The Journal of the Korean Transplantation Society)

  • 권호사항

    Vol.31 No.1 [2017]

  • 발행처

    대한이식학회

  • 발행처 URL

    http://www.ksot.org

  • 자료유형

    학술저널

  • 수록면

    43-48(6쪽)

  • 언어

    Korean

  • 발행년도

    2017년

•    주제어

  Tissue and organ procurement , Families` consent , Brain dead donor , 장기 기증 , 보호자 동의 , 뇌사 기증자

초록

Background: This study was conducted to identify the factors influencing successful organ donation and families` 

consent to donate after brain death. Methods: Medical records and data regarding organ donation counseling with the 

families of 107 brain-dead potential donors between September 2012 and March 2016 at a single tertiary medical 

center were retrospectively reviewed. Results: The final consent rate was 57.9% (62/107), and successful donation 

was performed in 40.2% (43/107) of cases. Univariate and multivariate analyses revealed that the independent 

factors associated with successful organ donation were age ＜60 years (odds ratio [OR], 3.384; 95% confidence

interval [CI], 1.350 to 8.484; P=0.009), systolic blood pressure ≥90 mmHg (OR, 6.261; 95% CI, 1.418 to 27.653;

P=0.015), and serum sodium level ≥150 mEq (OR, 4.215; 95% CI, 1.655 to 10.733; P=0.003). Family`s consent to 

donate was significantly associated with head trauma (OR, 3.538; 95% CI, 1.104 to 11.334; P=0.033) and serum 

sodium level ≥150 mEq (OR, 3.392; 95% CI, 1.404 to 8.194; P=0.007). Conclusions: Successful organ donation 

was associated with patient age, systolic blood pressure and serum sodium level. Family`s consent to donate was 

associated with head trauma and serum sodium level.