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