The aim of the study is to evaluate the efficiency of all the steps of donation and transplantation process in a university transplant hospital between 2000 and 2003. Review all organ donor medical records made to apply the following indexes: 1) Organ donor procurement: valid organ donors (cadaveric-CD, living-LD, Non-Heart-Beating NHBD); donors/million of population (pmp), Family Refusal (FR) and Clinical Counter-indications (CC). 2) Organ procurement. 3) Sharing of valid organs procured. 4) Organ utilisation. 5) Transplant results.
1) The average donation rate was 61.5 donors/pmp. FR decreased from 19.2% to 13.8% , the CC increased from 10.5% to 21.2% in this period. 2) From CD, an average of 3 organs/donor was procured with 2.5 valid organs/donor. These figures generated an average of 274 procured organs/year from which 251 (92%) were viable. 3) Organs received /send index increased from 1.14 to 1.59. 4) There is an increase from 152 to 179 transplants/pmp/year in this period. 5) The graft survival (first year) varied from 83% to 92% for heart, 85.7% to 95.4% for pancreas, 90.4% to 91.8% for kidney and 89% to 90.1% for liver. The reduction of the transplant waiting list was 34% for kidney, 31% for pancreas, 60 % for heart and 52.5% for liver. These results showed a high organ donor procurement index due to a reduction in FR in spite of an increase in the CC and the increase in the number of NHBD. The sharing valid organs procured index showed a great activity which allowed a high transplant rate.