Assessment of the impact of the COVID -19 pandemic on the number of brain deaths, family donations, and organs used between 2019-2020 in the Bursa regional coordination center with the most donors in Turkey
Ersin Elgin1, Mehmet Sezen3, Yavuz Selim Çınar2, Türkan Yılmaz Ulusoy2, Müjgan Öztürk2, Aslı Dübek2, Yasemin Berkant2, Kerem Selimoğlu1, Alparslan Ersoy3.
1Organ Transplantation Center, Bursa Uludag University Faculty of Medicine, BURSA, Turkey; 2Regional Coordination Center, Health Sciences University Hight Specialization Training and Research Hospital , BURSA, Turkey; 3Bursa Uludag University Department of Nephrology, Bursa Uludag University Faculty of Medicine, BURSA, Turkey
Introduction: The number of patients diagnosed with SARS-CoV2 worldwide in 2020 is 83,999,3791. According to the World Health Organization (WHO), 1,937,987 patients diagnosed with SARS-CoV2 died in 2020.2 In 2020, 2.3% of patients diagnosed with SARS-CoV2 died. The COVID 19 pandemic caused by SARS-CoV2 negatively impacts all sectors. One of the affected areas is organ supply and transplantation. The number of patients registered in the Transplant Dialysis Surveillance System (TDIS) waiting for solid organs in Turkey in 2020 is 23,923.3 Of the 1,391 reported brain death cases in 2020, 263 involved families donations. Of these, 1059 organs were used. This is 4.42% of the waiting patients.4 The inadequate supply of organs in our country Our study aimed to investigate the impact of the pandemic COVID -19 on the distribution of brain deaths reported in the regional coordination centers of Bursa, which has the highest number of brain deaths and family donations in Turkey by 2019 2020.
Materials and Methods: Using the data from the Transplantation Dialysis Monitoring System of the Ministry of Health - Decision Support Unit (TDIS-KDS), the distribution of brain death, family donation, and organs used data reported between 2019 and 2020 in Turkey was studied. This distribution retrospectively assessed the impact of the COVID -19 pandemic.
Results: According to the Transplant Dialysis Monitoring System (TDIS) data, there were 2,309 brain deaths in Turkey in 2019, patients with family donations: 619, and the number of organs used: 2504. The number of brain deaths in 2020: 1,391, the number of patients with family donations: 263, and the number of organs used: 1059.3 The number of brain deaths in 2019 Bursa Regional Coordination Center is 280, the number of patients with family donations: 117, the number of organs used: 222. The number of patients with brain death in 2020 is 208, the number of patients with family donations: 70 and the number of organs used: 104. In Turkey, the brain death rate in 2019 is 12.12%, the rate of patiens family donations: 18.90% and the rate of organs used: 8.86%. In Turkey, the brain death rate in 2020 is 14.95%, the rate of patients family donations: 26.61%, and the rate of organs used: 9.82%. The COVID 19 pandemic has had a negative impact on organ donation rates and organ supply for solid organ transplants. However, with organ donation training in the provinces of the Bursa Regional Coordination Center, an increase in brain death rates, family donations, and organs used was observed in Bursa Regional Coordination Centerin 2020.
Conclusion: The COVID19 pandemic has adversely affected patients awaiting solid organ transplants. The demand for cadaveric organ transplants has increased in Turkey. Patients without living donors are losing their lives. Social activities and legal incentives encouraging organ donation are increasing organ donation.
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