Abstract: SA-PO958
Organ Donation: A Cross-Sectional, Descriptive Study from an Inner-City Hospital in the Bronx
Session Information
- Transplantation: Clinical - 3
October 26, 2024 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Transplantation
- 2102 Transplantation: Clinical
Authors
- Aung, Htun Min, New York City Health and Hospitals Corporation, New York, New York, United States
- Rodriguez Salazar, Juan Diego, New York City Health and Hospitals Corporation, New York, New York, United States
- Acharya, Anjali, New York City Health and Hospitals Corporation, New York, New York, United States
- Todor, Roxanne, New York City Health and Hospitals Corporation, New York, New York, United States
Background
Renal transplant is the treatment of choice in patients with end-stage renal disease. However, organ donation rates in NYC are relatively low, at approximately 18%, with the Bronx borough having the lowest rate, at around 11%, despite having the highest number of patients on the waiting list. We have been recognized as a high performing donor hospital and are part of the CMS ETCLC initiative. We carried out this retrospective study where we aimed to look at our patients with brain-death diagnosis in a public hospital in the Bronx where health equity and disparities are front and foremost.
Methods
A descriptive cross-sectional study was conducted, during which relevant information was gathered from the electronic medical records of patients diagnosed with brain death between 2020 and 2023. Children under 18 years of age were excluded from the study. The focus was on collecting data related to organ donation, timely referral to our OPO Live On NY, electrolyte and renal function abnormalities, as well as nephrology referral. Data analysis was performed using Excel.
Results
Information was collected from 115 patients, of whom 63.48% were men. LiveOnNY was consulted in more than 95% of cases, and 42.61% of patients diagnosed with brain death ended up being donors. 57.39% were diagnosed with acute kidney injury, of which 20% were classified as KDIGO 3. Additionally, 76.52% and 59.13% of patients exhibited significant alterations in sodium or potassium levels, respectively. Furthermore, 14.78% of the cases required renal replacement therapy. Finally, the nephrology service was consulted in 27.83% of the cases.
Conclusion
Based on the results of our study, we can conclude that despite been an inner-City hospital from the Bronx, the rate of organ donation on death brain patients is encouraging.
The rates of AKI and electrolytes disturbances were significant. We would like to encourage the significance of involving nephrology experts in managing the renal complications and increasing the chances of transplantation and decrease organ discard rate.