Date: Monday, June 3, 2019
Session Time: 4:30pm-6:00pm
Presentation Time: 5:42pm-5:54pm
Location: Room 313
*Purpose: Our objective was to survey health care professionals (HCPs) responsible for the care of potential organ donors (PODs) on attitude toward organ donation, knowledge about procurement process and potential lung donor (PLD) management nationwide.
*Methods: An 39-item anonymous questionnaire was designed and distributed online among HCPs previously register in an Argentinian intensive care society between march and september of 2018. The questionnaire contained demographic data, questions regarding knowledge, attitude toward organ donation and professional experience.
*Results: There were 736 responses, 61% female, with a mean age of 41 (9) years old. Of the surveyed HCPs, 66% worked in an adult intensive care unit (ICU) and 16% in a pediatric ICU. Sixty-one percent were physicians, 22% nurses and 18% physiotherapist. The attitude towards organ donation was reported as 88% favorable, of which 78% were registered organ donors. Knowledge regarding organ donation was classified as “adequately informed” by 78% of the HCPs and 80% of them expressed knowledge in POD management. Only 27% received organ donation information during professional training and 66% while completing a graduate degree. Seventy-one percent of the HCPs considered a neurocritical patient to be POD when brain death criteria were present. The majority of the HCPs (97%) reported having worked with a POD and 70% participated actively in the procurement process. Eighty percent of the physicians had reported a POD to the federal organ procurement organism. The criteria the POD must meet to be considered a PLD were correct in 71% of the answers, however, only 19% had a PLD management protocol. After diagnosing brain death, 51% made no changes to any of the ventilator parameters, and nearly a quarter (23%) were not aware of which parameters to select for a PLD. In case of hypoxemia, 84% would implement some strategy to improve oxygenation. The most frequently used strategies were: positive end expiratory pressure titration, endotracheal suctioning with a closed-circuit and recruitment maneuvers.
*Conclusions: HCPs in Argentina have a positive attitude towards organ donation. They answered correctly most of the questions related to knowledge about procurement process. However lack detailed knowledge and lung procurement management protocols.
To cite this abstract in AMA style:Ruiz VR, Midley AD, Rodriguez PE, Bauque S, Morozovsky V, lozzo AGDa. Organ Donation Survey among Health Care Professionals in Argentina [abstract]. Am J Transplant. 2019; 19 (suppl 3). https://atcmeetingabstracts.com/abstract/organ-donation-survey-among-health-care-professionals-in-argentina/. Accessed November 26, 2020.
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