annual report 2009 - Beaumont Hospital

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ANNUAL REPORT 2009
ORGAN PROCUREMENT SERVICE
BEAUMONT HOSPITAL
Introduction
Despite a very difficult year in terms of infrastructure the Organ
Procurement and Transplant Department at Beaumont Hospital
recorded their highest year ever in terms of kidney transplantation.
172 kidney transplants were performed, translating into 40 kidney
transplants per million of the population. I would like to thank and
congratulate everyone working in the transplant unit for continuing to
produce such results in the face of severe difficulties.
David Hickey
Director of Transplantation
SOLID ORGAN DONORS IN IRELAND 2005 - 2009
Total no. of Deceased Donor
Referrals
No Consent/Med unsuitable
No. of Deceased Donors
2005
130
2006
143
2007
146
2008
143
2009
154
22/32
21/31
12/46
24/38
22/42
76
91
88
81
90
73
84
83
76
85
3
7
5
5
5
71
89
84
77
87
Consent for Kidneys Only
5
2
4
4
3
No. of Kidneys retrieved
130
157
155
143
164
No. of Adult Donors
No. of Paediatric Donors > 19yrs
Number of Multi Organ Offers
-
no of Kidney Tx
no of double tx paediatric
no of double tx nephron dosing
Consent for research
no kidneys exported
Number of livers retrieved
154
2
4
3
1
57
74
70
59
68
8/7
18/9
12/2
7/5
6/2
14
21
9
10
17
Exported
3
7
2
6
6
No. of Heart/Lungs
0
0
0
0
0
No. of En Bloc Lungs
2
8
4
1
No. of single Lungs
8
10
5
7
No. of Pancreas retrieved
5
4
5
12
1 Local
3 UK
4 Local
1 UK
9
Exported/Imported
No. of Hearts retrieved
Donor Nationality
Irish: 85
Polish: 4
Czech Republic : - 1
SOLID ORGAN TRANSPLANTS IN IRELAND 2005- 2009
Total Number of
Transplants
Kidney Transplants
Deceased/LRD
Kidney alone
2005
205
2006
234
2007
223
2008
224
2009
261
129
146
146
146
172
127/2
142/4
141/5
136/10
154/18
124
142
141
134
164
5
4
5
12
9
SPK
5
4
5
12
8
PTA
0
0
0
0
1
Heart
11
14
7
4
11
Liver
57
65
59
58
64
3
9
4
4
1
1
2
0
5
4/1
0
35
35
35
40
Pancreas
Lungs
Single / Double
Combined Kidney / Liver
Kidney Transplant pmp
DONOR DETAILS 2005 - 2009
DONOR SEX
Male
Female
2005
54
35
2006
50
41
2007
50
38
2008
48
33
2009
56
34
2006
51
26
13
1
2007
49
24
12
3
2008
41
23
15
2
2009
51
31
7
1
2006
8
40
22
16
5
2007
7
34
28
14
5
2008
5
36
18
13
9
2009
12
35
26
13
4
DONOR BLOOD GROUP
Group
Group
Group
Group
O
A
B
AB
2005
33
33
8
2
DONOR AGE RANGE
0 – 18
19 – 45
46 – 55
56 – 64
> 65
2005
8
34
22
7
5
PARTICIPATING HOSPITALS
Beaumont Hospital
Cork University
Galway
Mater Hospital
Limerick
Portiuncula
St James
Tallaght
Drogheda
J.C.M.H.
Cavan
Tralee
St Vincents
Loughlinstown
Mullingar
Temple Street
Sligo
Castlebar
Letterkenny
Naas
Kilkenny
Navan
Wexford
St Johns
Portlaoise
Roscommon
Waterford
South Infirmary
Tullamore
Bantry
Clonmel
Dundalk
Crumlin
Bons Cork
Mercy Cork
2005
14
10
4
3
5
1
2
2
3
1
4
1
2
3
3
0
1
2
1
2
1
1
1
1
1
0
2
0
0
0
3
1
1
0
0
2006
16
13
6
4
2
2
2
5
2
4
0
2
4
0
3
0
0
1
4
4
1
2
3
0
2
0
2
1
2
0
0
1
0
1
0
2007
16
9
2
4
7
0
4
1
4
2
2
2
1
1
3
2
2
2
2
3
0
4
1
0
2
0
1
0
2
0
1
2
1
0
1
2008
11
11
3
5
6
1
5
4
3
5
3
2
0
1
0
1
3
3
1
1
1
1
1
0
3
1
0
0
1
1
2
0
0
0
1
2009
18
8
6
3
8
0
3
5
2
6
2
6
1
0
2
2
0
0
1
0
1
4
2
0
0
0
1
1
2
1
4
0
1
0
0
WAITING LIST AND TRANSPLANTS PER CENTRE 2009
CENTRE
Antrim
Beacon
Beaumont
Belfast
Castlebar
Cavan
Cork
Crumlin
Fresenius
Galway
Galway W/Stone
Kilkenny
Letterkenny
Limerick
Mater
Newry
Northern Cross
Overseas
Sligo
St James
St Vincents
Tallaght
Temple St
Tralee
Tullamore
Waterford
ON
POOL
1
30
99
1
22
11
62
2
6
35
8
11
14
25
28
2
8
0
9
2
14
52
8
13
14
33
%
TXES
%
0.2.%
5.9%
19.6%
0.2%
4.48%
2.2%
12.3%
0.4%
1.2%
6.9%
1.6%
2.2%
2.8
5%
5.5%
0.4%
1.6%
0%
1.8%
0.4%
2.8%
10.3%
1.6%
2.8%
2.8%
6.5%
0
5
33
0
2
8
22
2
0
15
0
3
2
6
7
0
1
0
4
0
6
25
4
4
4
16
0%
2.89%
19%
0%
1.16%
4.63%
12.7%
1.16%
0%
8.67%
0%
1.74%
1.16%
3.47%
4.05%
0%
0.5%
0%
2.32%
0%
3.47%
14.45%
2.32%
2.32%
2.32%
9.25%
No patients approved for transplant list in 2009
202
No patients active on the waiting list Dec 2009
515
DONOR CAUSE OF DEATH 2009
2009
19
Head Trauma,
27
Head Trauma
Intracerebral
Bleed/CVA
Other
Intracerebral
Bleed/CVA, 44
TRANSPLANTED PT STATISTICS (N = 172)
Dialysis Stats:
Pre-emptive patients:
15
HD patients:
111
CAPD patients:
46
Length of time on pool:
No.
No.
No.
No.
No.
No.
No.
of
of
of
of
of
of
of
patients transplanted
patients transplanted
patients transplanted
patients transplanted
patients transplanted
patients transplanted
first grafts: 158
within 1 yr on pool:
within 2 yrs on pool:
within 3 yrs on pool:
within 4 yrs on pool:
within 5 yrs on pool:
over 5 yrs on pool:
57 32%
51 30%
31 18%
18 10%
13 8%
2 2%
LIVE DONOR ACTIVITY 2009
Total no. of potential donors assessed:
110
Live Donor Transplants:
9 Sibling
4 parent to child
2 child to parent
2 spouse
1 other
18
Number of donor work up in progress
40
Donor work up discontinued
Medically unsuitable
Immunologically incompatible
Deceased donor kidney received
Recipient deemed unfit
Transplanted UK
52
5
26
16
1
4
Donors attending for annual follow up
47
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