Nanni Costa, in 2010, down 7.1% donors used
Rome, December 2 (Reuters) - In 2010 in Italy there was a decrease in the number of organ donors used, the decline is around 7.1%. According to preliminary data as at 31 October, these are in fact increased from 1167 in 2009 to 1085 this year. "The main reasons for this fall - explains Alessandro Nanni Costa, director of the National Transplant Centre (CNT), in an interview with the program 'Family Home' TV network Sat 2000 - are two: first, it was found in the last 5 years an increase of ' average age of donors increased from 50 to 55 years, on the other hand there has been a decrease in the number of deaths of brain-damaged patients, up from 5,572 in 2009 to 2,388 in the first six months of 2010, which is equivalent, according to data in projection end of the year, a reduction of 13.6%.
The decrease in the number of deaths of brain-damaged patients, says Nanni Costa, is to be interpreted in a broader framework that takes into account the relationship between the total number of investigations carried out in the resuscitation of brain death (2,257 in 2009, compared with 1,057 in the first half of 2010) and the total number of deaths due to brain injury.
"According to the data prior to June 30, 2010 - says the number one Cnt - the debt ratio increased by 4 percentage points, from 40.5% in 2009 to 44.3% in the first six months of 2010. So there is no doubt that there are fewer deaths due to brain injury - precisely - is equally true that the National Transplant Network (RNT) was able to respond greatly to this decrease, limiting the negative effects on the donation system. " But according
Nanni Costa, "the causes of the the positive trend of donations are different and, given the complexity of the process of donation and transplantation involving multiple areas of health, must be found both at the structural level, both technical and organizational. "
From experience accumulated in recent transplant from the network 10 years, it is clear that the game is played often on the donation in intensive care units: there is evidence that the opposition is not also depends on the appropriate relationship established with the family of the potential donor.'s reliability, trustworthiness and transparency of the structure, as the certainty that the patient has been treated better, go through the proper management of the relationship.
"The National Transplant Centre - says the president - is committed consistently for years in the planning of a series of training dedicated to all health professionals involved in the donation process (medical intensive care unit, intensive care nurses and coordinators to the donation), by paying greater care to promote the skills of staff aimed at proper management of the relationship with the family. Would be needed - he adds - including structural measures that give greater recognition to the role of local coordinator. Alongside these measures, it would be important to spread and standardize organ-specific programs at the national level that the CNT has called for years and that, precisely in 2010, with the programs of the liver and lung were completed.
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