Development of an organ procurement team in South Australia in response to COVID-19.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Wiley-Blackwell Publishing Asia Country of Publication: Australia NLM ID: 101086634 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1445-2197 (Electronic) Linking ISSN: 14451433 NLM ISO Abbreviation: ANZ J Surg Subsets: MEDLINE
    • Publication Information:
      Publication: Carlton, Victoria, Australia : Wiley-Blackwell Publishing Asia
      Original Publication: Carlton, Victoria, Australia : Blackwell Science Asia on behalf of the Royal Australasian College of Surgeons, c2001-
    • Subject Terms:
      COVID-19*/epidemiology ; Tissue and Organ Procurement*; Adult ; Humans ; Middle Aged ; Pandemics ; South Australia/epidemiology ; Victoria
    • Abstract:
      Background: Due to the nature of border closures and quarantine requirements in Australia during the COVID-19 pandemic, the feasibility of interstate travel for organ retrieval created complex logistics. An organ procurement service in South Australia, to procure heart and lungs of local donors, was commenced to mitigate the impact of the travel restrictions imposed due to COVID-19. The purpose of this review was to examine the initial data and feasibility of the service.
      Methods: A single unit, multi-site retrospective review from April 2020-August 2021 of all organ retrievals undertaken by the Flinders Medical Centre cardiothoracic service across Adelaide metropolitan area. Data was prospectively collected and analysed from the DonateLife South Australian centralized database. All data was de identified.
      Results: A total of 25 organ procurements had been undertaken across 17 months since commencing the program. Total of 9 hearts and 16 bilateral lungs were procured with median age of donor of hearts 49 years (IQR 35.5-51. 5) and 60 years (IQR 44-72) for lung donation. Six organs were donated after determination of circulatory death and 19 after neurological determination of death. Median ischaemic time for heart donation was 4.4 h (IQR 3.0-5.8) and lung donation 4.4 h (IQR 3.4-6.1). All organs procured by the local South Australian team were successfully transplanted at the recipient site. Recipient sites included 8 in Victoria, 10 in New South Wales, 4 in Western Australia and 3 in Queensland.
      Conclusions: The necessity of flexibility within the field of cardiothoracic surgery is evident during the COVID-19 pandemic. The implementation of an organ retrieval service in South Australia has been successful with no apparent increased risk to successful transplant outcomes.
      (© 2022 Royal Australasian College of Surgeons.)
    • References:
      Ann Thorac Surg. 2020 Aug;110(2):712-717. (PMID: 32407853)
      Am J Transplant. 2021 Jun;21(6):2100-2112. (PMID: 33244847)
      Thorac Cardiovasc Surg. 2021 Jan;69(1):92-94. (PMID: 32898894)
      J Card Surg. 2021 Sep;36(9):3217-3221. (PMID: 34137079)
      Circulation. 2020 Jun 23;141(25):2048-2051. (PMID: 32314596)
      Am J Transplant. 2021 Apr;21(4):1586-1596. (PMID: 33084144)
      BMC Gastroenterol. 2020 Aug 6;20(1):259. (PMID: 32762651)
      Respir Med Res. 2020 Nov;78:100758. (PMID: 32474398)
      Clin Transplant. 2021 Mar;35(3):e14210. (PMID: 33368697)
      Am J Transplant. 2020 Jul;20(7):1780-1784. (PMID: 32243677)
    • Contributed Indexing:
      Keywords: COVID-19; organ donation; organ transplant; procurement
    • Publication Date:
      Date Created: 20220523 Date Completed: 20220812 Latest Revision: 20221005
    • Publication Date:
      20231215
    • Accession Number:
      PMC9347653
    • Accession Number:
      10.1111/ans.17776
    • Accession Number:
      35603762