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联合OPO对器官捐献和获取质量控制指标的影响——基于福建省单中心数据

谢贤宇, 魏琴, 张蕙, 等. 联合OPO对器官捐献和获取质量控制指标的影响——基于福建省单中心数据[J]. 器官移植, 2022, 13(6): 757-763. doi: 10.3969/j.issn.1674-7445.2022.06.010
引用本文: 谢贤宇, 魏琴, 张蕙, 等. 联合OPO对器官捐献和获取质量控制指标的影响——基于福建省单中心数据[J]. 器官移植, 2022, 13(6): 757-763. doi: 10.3969/j.issn.1674-7445.2022.06.010
Xie Xianyu, Wei Qin, Zhang Hui, et al. Effect of united OPO on organ donation and procurement quality control indexes : a study based on single-center data in Fujian province[J]. ORGAN TRANSPLANTATION, 2022, 13(6): 757-763. doi: 10.3969/j.issn.1674-7445.2022.06.010
Citation: Xie Xianyu, Wei Qin, Zhang Hui, et al. Effect of united OPO on organ donation and procurement quality control indexes : a study based on single-center data in Fujian province[J]. ORGAN TRANSPLANTATION, 2022, 13(6): 757-763. doi: 10.3969/j.issn.1674-7445.2022.06.010

联合OPO对器官捐献和获取质量控制指标的影响——基于福建省单中心数据

doi: 10.3969/j.issn.1674-7445.2022.06.010
基金项目: 

福建省财政专项基金项目 2020CZ001

福建省科协科技创新智库课题研究项目 FJKX-A2036

详细信息
    作者简介:
    通讯作者:

    吴勤德,博士研究生,助理研究员,研究方向为医院管理、卫生事业管理,Email:qdwu88@126.com

  • 中图分类号: R617, R19

Effect of united OPO on organ donation and procurement quality control indexes : a study based on single-center data in Fujian province

More Information
  • 摘要:   目的  探讨联合器官获取组织(OPO)对器官捐献工作及器官捐献质量控制指标的影响。  方法  回顾性分析联合OPO牵头医疗机构联合前、后器官捐献成功的36例、33例案例在器官捐献工作量和工作效率情况以及器官捐献质量控制和管理指标的差异。  结果  联合OPO成立后器官捐献工作量和工作效率均得到进一步提升,年捐献例数、年器官获取数、日均获取器官数、每百万人口捐献率(PMP)、协调员工作效率指数等指标进一步提高。器官捐献转化率由联合前的26.5%提升至联合后的29.0%,平均器官产出率在联合OPO成立前后相差不大,维持在3.3以上的高水平,与联合OPO成立前比较,联合OPO成立后获取器官利用率、边缘供器官比例、器官保存液病原菌培养阳性率、移植物原发性无功能(PNF)发生率、移植物功能延迟恢复(DGF)发生率等,差异均无统计学意义(均为P > 0.05);联合OPO成立前、后的捐献器官获取后活组织检查率分别为27.7%和58.3%,而器官外流率分别为83.1%和47.8%,差异均有统计学意义(均为P < 0.05)。  结论  联合OPO建设有助于推动器官捐献和获取工作高效发展,降低器官捐献和获取成本,提高器官捐献和获取工作成效和质量控制与管理水平。

     

  • 图  1  2018年至2022年OPO器官捐献工作量情况

    Figure  1.  OPO organ donation workload from 2018 to 2022

    图  2  2018年至2022年OPO器官捐献工作效率情况

    Figure  2.  OPO organ donation efficiency from 2018 to 2022

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  • 收稿日期:  2022-06-26
  • 网络出版日期:  2022-11-14
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