Our aim was to identify factors which may influence legal guardians and/or family members to give third-party consent to harvest organs from brain dead individuals. We extracted available data from the files of 200 brain dead patients whose families were approached by the Transplant Coordinator Office for organ donation. One hundred files were chosen from those with third-party consent for organ harvest (group I) and 100 who had not given consent (group II). We extracted data regarding age, sex, place of residence, occupation of patient, educational level of the patient and the 4 members giving third-party consent, cause of hospitalization, operations performed during admission, Glasgow score on admission, elapsed time from admission to brain death and from announcing brain death until obtaining consent in group I. Numerical data were analyzed using the independent single t-test and nominal data by Pearson or Fischer’s exact test. From the 4 individuals giving consent the first one was invariably the most important (i.e. parent (usually father) or legal guardian).Interestingly from all the data only the level of education of the third and fourth third-party consent giver was significantly higher in group I when compared to group II (p=0.036, p=0.042 respectively). The patient’s level of education was not significantly different between the two groups (p=0.057). All seven suicide cases had given consent. It seems that the education level of consent givers who had a supporting role in the process and were not necessarily parents or legal guardians played a prominent role in obtaining consent.
Volume : 6
Issue : 4
Pages : 30
Shiraz Transplant Center, Namazi Hospital and Transplantation Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.