Luiz Gustavo Torres Dias da Cruz, Brazil has been granted the ISODP Congress Scientific Award
Development of a multidisciplinary protocol for thoracic organ donation process
Luiz Gustavo Dias da Cruz1,2, Profa Dra Tereza Cristina Felippe Guimarães 2.
1Universidade do Estado do Rio de Janeiro, Clinical Nursing Service/Pedro Ernesto University Hospital, rio de janeiro, Brazil; 2Graduate Program in Cardiovascular Sciences, National Institute of Cardiology, rio de janeiro, Brazil
Evidence-based Nursing Research Center - HUPE/UERJ.
Introduction: In Brazil, thoracic solid organ transplants are less frequent than solid organs (kidney and liver, for example). With the increase in survival and quality of life of transplant patients, the indication of transplants and the demand for this therapy have grown significantly in the last two decades. However, although the demand for and effectiveness of transplants has increased, the lack of organs remains one of the biggest barriers for transplant teams in all countries, as the demand is increasing in relation to the effectiveness of donations, thus increasing the lists waiting. Even with the existence of some protocols for maintaining the potential donor, we can observe that the use of organs for transplants remains low in Brazil.
Objectives: To develop a systematized multidisciplinary protocol aimed at the process of donating thoracic organs to the Intra-Hospital Transplant Commission. Methods: Systematic review of the specialized literature for the development of a systematic protocol of specific care for thoracic capture (CRD42018112281); construction of a questionnaire based on the scientific evidence researched in the specialized literature, and subsequent technical review of such evidence, carried out by a committee of experts.
Results: twelve (12) studies were listed for the extraction of scientific evidence, all available in English. In all, twenty-one (21) scientific evidence was collected from the total sum of these. The expert committee was composed of seventeen (17) members, who had access to the questionnaire. The categorization of the responding subjects was as follows: nine (9) physicians, seven (7) nurses and one (1) physiotherapist. Three (3) domains were designed, and from these the protocol presented here was built.
Conclusion: The study developed the domains of the thoracic organ donation process, and proposed actions that can be carried out by the multidisciplinary health team in the different scenarios existing in Brazilian cities. The review used as a scientific basis systematized with new scientific evidence for the academic and/or healthcare community.
