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Annual Report 2016 Deceased Donation after Brain Death in the Kingdom of Saudi Arabia

Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

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Page 1: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

Annual Report 2016

Deceased Donation after Brain Death in the Kingdom of Saudi Arabia

Page 2: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

Deceased Donors after Brain Death & Organ Donation

The Kingdom of Saudi Arabia has an active deceased donation and transplantation program under the

supervision of the Saudi Center for Organ Transplantation (SCOT)

Clear policies have been laid down to facilitate diagnosis of Death by Brain Function Criteria and the

management of potential deceased donors

Religious scholars approved the concept of Death by Brain Function Criteria and Organ Donation

The critical pathway of deceased organ donation was applied in all

donors reported to Saudi Center for Organ Transplantation (SCOT)

with 646 possible, 410 potential, 333 eligible, 102 consents, 92

actual and 85 utilized DBD donors. The possible DBD donor

constituted 20pmp for the year 2016. There were a total of 622

mean possible donors for the past 5 years (21 pmp).

In 2016, Characteristics of possible DBD donors shows that majority

were in age group between 11-60 compared to the age group 11-40

over the years. Males constituted 75.5% of the donors with male to

female ratio of 3:1 compared to 4:1 since 1986. Non-Traumatic cause

due to CVA represents majority of causes of death among possible

DBD donors followed by the traumatic cause due to MVA in contrary

to data over the years; where traumatic is the major cause of death.

Potential DBD donors were fully documented according to the Saudi

National Protocol with 333 eligible DBD donors approached for

organ donation; of which, 102 (31%) were consented and 92 (90%)

were recovered.

Evaluation and management of all possible DBD donors were

continuously followed by SCOT according to the Directory of

Regulation of Organ Donation and Transplantation in the Kingdom of

Saudi Arabia with the different ICU’s until recovery of organs for the

purpose of transplantation or cardiopulmonary arrest.

Transportation during the process of organ recovery were effectively

used in majority of actual DBD donors which includes air and land

transport.

The consent rate per organ from DBD donors are recorded with

100% consents were obtained for kidneys, 100% for liver, 97% for

heart, 97% for lungs, 97% for pancreas, 40% for corneas and 13% for

bones.

Of the 646 possible deceased cases in the year 2016, 102 were consented for organ

donation. Organ Recovery was carried out in 90% of the consented cases in which

85 cases were utilized

Page 3: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

Figure I.1: The Critical Pathway of Deceased Organ Donation

Transplant International©2011 European Society for Organ Transplantation 24 (2011) 373–378

Page 4: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

The Critical Pathways of Deceased Organ Donation

In 2016, the total possible DBD donors were 464, 410 potential,

333 eligible, 102 consents, 92 actual donors and 85 Utilized (see

figure 1.2.). Since 1986, the possible DBD donors reached 11866,

7257 potential, 6119 eligible, 2020 consents and 1816 actual cases

(see figure 1.3.).

Figure I.2: Critical pathway of deceased organ donation in 2016

Figure I.3: Critical pathway of deceased organ donation 1986-2016

Region Wise

In 2016, the highest number of possible DBD donors were from

Riyadh region with 187possible, 138 potential, 122 Eligible, 35

Consents and 33 actual cases and recognizing its highest

performance region wise (see table 1.1.).

Region Possible Potential Eligible Consented Actual Utilized

Eastern Region 113 73 57 21 17 17

Northern Region 69 29 9 1 0 0

Outside Kingdom 29 26 23 19 18 13

Qassim Region 48 38 30 7 6 6

Riyadh Region 187 138 122 35 33 32

Southern Region 34 13 11 0 0 0

Western 166 93 81 19 18 17

Total 646 410 333 102 92 85

Table I.1: Critical pathway of deceased organ donation, region wise in 2016

Possible DBD Donors

In 2016, there were 646 possible donors and since 1986, there

were a total of 11866 possible donors reported to SCOT. Over the

years, there was an increase in the number of possible DBD

donors with the highest, recorded in 2011 with 710 DBD donors.

(See figure 1.4.).

Figure I.4: Annual trend of possible DBD donors over the years 1986-2016

Possible DBD donor characteristics

In 2016, analysis of the age distribution of the possible DBD

donors shows that the majority were mainly in the age group

between 11-60 yrs. composing 88% of the cases, with the highest

number in age group between 21-30 yrs., having 23.5% of the

possible DBD donors (see figure 1.5.). Since 1986, the majority of

possible DBD donors were mainly from age group between 11-40

years composing 61.5% of the cases (see figure1.6.).

Analysis of the gender among possible DBD donors shows that

male represents 75.5% of the donors while females constitute the

remaining 24.5% with a male to female ratio of 3:1. Since 1986,

the males represent 79% of the possible DBD donors and females

represent 21% with a male to female ratio of 4:1 (see figures 1.7.

& 1.8.).

646

410 333

102 92 85

Possible Potential Eligible Consented

for

Donation

Actual Utlized

11866

7257 6119

2020 1816

Possible Potential Eligible Consented for

Donation

Actual

7 24

13

6

14

8

14

6

15

4

18

7

21

0

34

8

36

7

37

4

35

5

38

5

42

7

36

4

34

8

33

7

36

0

37

2

41

0

52

6

47

4 53

3

50

3

61

5

71

0

63

1

57

0

57

0 62

9

64

6

19

86

19

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89

19

90

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20

16

Page 5: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

Nationality distribution among possible DBD donors have shown

that Saudi Nationals comprises 326 (50.5%) of the total DBD

donors while the other 320 (49.5%) are non-Saudis. Since 1986,

Saudis represent 53% of the possible DBD donors and non-Saudis

47% (see figures 1.9. and 1.10.).

Analysis of the causes of death among possible DBD donors in

2016 shows that traumatic causes were 289 cases (45%) and non-

traumatic causes were 357 (55%). Majority of the traumatic

causes were from Motor Vehicle Accident (MVA) 81% while non-

traumatic causes were mainly due to Cerebro-Vascular Accident

(CVA) 68% (See table I.2).

Over the years, there was no significant change in the trend of

causes of death among possible DBD donors. Since 1986,

traumatic causes were the leading cause of death with 56% and

non-traumatic causes were 41% and the remaining 3% were

categorized as others. Majority of the traumatic causes were from

Motor Vehicle Accident (MVA) 81% while non-traumatic causes

were mainly due to Cerebro-Vascular Accident (CVA) 68% (see

table I.3).

Figure I.5: age distribution of possible DBD donors 2016

Figure I.6: age distribution of possible DBD donors 1986-2016

Figure I.7: Sex distribution in possible DBD donors 2000-2016

Figure I.8: Sex distribution in possible DBD donors1986-2016

Figure I.9: Nationality distribution in possible DBD donors 2000-2016

Figure I.10: Nationality distribution in possible DBD donors 1986-2016

36

99

152

122

105 90

26 16

0 - 10 11 - 20 21 - 30 31 - 40 41 - 50 51 - 60 61 - 70 < 70

1332

2043

2962

2301

1628

989

399 212

0-10 11-20 21-30 31-40 41-50 51-60 61-70 >70

488

158

0

100

200

300

400

500

600

Male

Female

9372

(79%)

2494

(21%)

Male

Female

326

320

0

50

100

150

200

250

300

350

400

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

Saudi

Non-Saudi

[VALUE]

([PERCEN

TAGE])

[VALUE]

([PERCEN

TAGE])

Saudi

Non-Saudi

Page 6: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

Cause of Death N %

Traumatic 289 45%

Motor Vehicle Accident (MVA) 233

Fall From Height (FFH) 36

Direct Head Trauma (DHT) 18

Stab 1

Electric Shock 1

Non-Traumatic 341 55%

Cerebro-Vascular Accident (CVA) 241

Anoxia 82

CNS tumor 18

Others 16

Total 646 100%

Table I.2: Cause of death among possible DBD donors in 2016

Cause of Death N %

Traumatic 6,615 56%

Motor Vehicle Accident (MVA) 5421

Fall from height (FFH) 728

Direct head trauma (DHT) 352

Gunshot 112

Stab 1

Electric Shock 1

Non-traumatic 4,884 41%

Cerebro-Vascular Accident (CVA) 3264

Anoxia 1162

CNS tumor 458

Others 367 3%

Total 11,866 100%

Table I.3: Cause of death among possible DBD donors in 1986-2016

Potential DBD donors

In 2016, there were 410 potential DBD donors and since 1986, a

total of 7257 potential DBD donors were reported to SCOT. Over

the years, there was an increasing numbers of potential DBD

donors with the highest number of potential cases this year. (See

figure I.9).

The 410 potential DBD donors were fully documented according

to the Saudi National Protocol for Diagnosis of Death by Brain

Function Criteria and shows a continuous increase for the past 4

years in comparison to Not documented cases whom shows a

decreasing pattern from 2012 (see figure I.10 & I.11 cumulative).

Figure I.9: Annual trend of potential DBD donors 1986-2016

Figure I.10: Documented and non-documented possible DBD donors

2000-2016

Figure I.11: Documented and non-documented possible DBD donors 1986-2016

Eligible DBD Donors

In 2016, there were 333 eligible DBD donors approached for organ

donation and since 1986, a total of 6119 eligible DBD donors were

approached for organ donation by SCOT which shows an increase

in the number of approached eligible DBD donors with the highest

number of donors approached this year(see figure I.12).

Approached and Not approach families of DBD donors for organ

donation were also documented in 2016 and cumulatively from

1986 which together, projects an ascending behavior from 2012-

2016. In addition, non-approached cases show a constant pattern

despite the increase in its contrasting figure (See figure I.13 &

I.14).

Figure I.12: Annual trend of approached eligible DBD donors 1986-2016

6 21

96

93

99

81

10

5 13

9

24

7

25

9

25

6

25

1

19

7

21

1

19

8

21

8

20

8

21

9 2

61

24

5

35

8

28

8

35

9

30

0

36

9

38

5

32

4

30

4 3

50

40

0

41

0

19

86

19

87

19

88

19

89

19

90

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410

236

0

50

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400

450

20

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20

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20

14

20

15

20

16

Documented

Not Documented

7257

(61%)

4609

(39%)

Documented

Not Documented

3 2

1

87

84

88

74

89

13

3

23

5

23

1

23

0

23

8

18

6

19

4

16

7 1

95

17

7

16

7

21

4

20

3

28

9

23

5

28

2

23

3

29

7

30

9

27

1

24

3

27

9

33

2

33

3

198

6

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7

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8

198

9

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0

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0

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201

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3

201

4

201

5

201

6

Page 7: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

Figure I.13: approached and not-approached eligible DBD donors 2000-2016

Figure I.14: approached and not-approached eligible DBD donors 1986-2016

Of the 333 approached eligible DBD donors, 102 (31%) were

consented for organ and tissue donation and the remaining 231

(69%) donors, the family refused organ donation which shows an

slight decreased of refusal rate in comparison to 2016 (see figure

I.15 & 1.16 cumulative). The trend of consented eligible DBD

donors including consent from outside the Kingdom of Saudi

Arabia in 1986-2016 is shown in (figure I.17).

Figure I.15: Consented and non-consented approached eligible DBD donors 2000-

2016

Figure 1.16: Consented and non-consented approached eligible DBD donors 1986-

2016

Figure I.17: Annual trend of consented eligible DBD donors 1986-2016

Actual DBD Donors

Of the 102 consented eligible DBD donors; 92 (90%) actual DBD

donors were recovered and 10 (10%) were not recovered which

displayed a decrease in the present numbers in comparison to the

non-recovered ones (figure I.19). Since 1986, a total of 1816

consented eligible DBD donors were recovered and 204 were not

recovered (figure I.20).The annual trend of actual DBD donors is

shown in (figure I.18).

Figure 1.18: Annual trend of actual DBD donor 1986-2016

333

77

0

50

100

150

200

250

300

350

20

00

20

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20

16

Approached

Not Approached

[VALUE]

([PERCEN

TAGE])

[VALUE]

([PERCEN

TAGE])

Approached

not Approached

102

231

0

50

100

150

200

250

20

00

20

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20

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11

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12

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13

20

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15

20

16

Consented

Family Refusal

4099

(67%)

2020

(33%)

Family Refusal

Consented

0 1

0

31

23

42

34

43

52

88

80

54

54

50

43

33

41

31

46

46

51

91

66

10

0

73

10

1

81

73

65

79

87

8

3

6 10

7

3

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9 14

12

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31

14

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16

Consent Inside Kingdom Consent Outside Kingdom

0

10

31

23

40

32 34

51

82

71

48

55 54

47

33

54

38 39

54

62

102

80

105

68

98

73

83

67

101

89 92

19

86

19

87

19

88

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19

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15

20

16

Page 8: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

Figure I.19: Recovered and non-recovered consented eligible DBD donor 2000-2016

Figure I.20: Recovered and non-recovered consented eligible DBD donor 1986-2016

Utilized DBD donor

From the 92 actual DBD donors; 85 donors were utilized in the

Kingdom, including 13 donors from GCC countries. 3 donors were

utilized by GCC countries and 4 donors were recovered but not

utilized. (Details of the not utilized actual DBD donors are listed in

table I.4). There was a decrease of utilized deceased cases

compared to last year which in comparison to the non-utilized

cases shows a consistent rate since 2013 (see Utilized and Non-

Utilized DBD Donors 2013-2016).

Reason N %

Unfit 3 25%

Viral Encephalitis 1

C/S positive blood & Sputum 1

Carcinoma 1

Donor sudden cardiac arrest 8 67%

No Available Suitable HCV+ve Positive compatible

recipient

1 8%

Total 12 100%

Table I.4: Reasons of not utilized actual DBD donors 2016

Utilized and Non-Utilized Actual DBD Donors 2013-2016

Organ specific utilization of actual DBD donors are as follows:

Kidneys in 65 donors, liver in 63, heart in 29, pancreas in 11 and

lung in 16 donors.

Logistics

Transportation was effectively used over the years during the

process of organ recovery for the purpose of organ

transplantation. In 2016, transportation was used in 77 (84%) of

the actual DBD donor; wherein air transport was used in 47 (51%)

of the actual DBD donor and ambulance in 30(33%) and the

remaining 15 (16%) no transportation was used (mainly, the donor

is in transplant center) (see figure I.21)

Figure I.21: Transportation used during organ recovery 2016

92

10

0

20

40

60

80

100

120

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00

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16

Recovered

Not Recovered

1816

(90%)

204 (10%)

Recovered

Not Recovered

63

97 89 88

4 4 3 4

0

20

40

60

80

100

120

2013 2014 2015 2016

Utilized

Non-Utilized

47

51%

30

33%

15

16%

Medevac Ambulance No Transportation used

Page 9: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

Hospital Contribution in Organ Donation Program

The total number of hospitals who reported possible deceased

donor (DD) cases during the year 2016 was 104 hospitals. These

were divided into either large (>20 ICU beds), Medium (10-20 ICU

beds) or small (<10 ICU beds). The top 3 hospital with the outmost

consented cases are acknowledged below with their

corresponding ICU beds.

Large hospitals (50) reported 378 cases (59% of the total), of

which 226 (55%) were fully documented and 47 consents were

obtained for organ donation (46% of total consents).

In this group, 11 consents were obtained from King Saud Medical

Complex, Riyadh (KSMC). KSMC is also considered to be the

largest source of consented cases in the kingdom for the last ten

years. Prince Mohammed Bin Abdulaziz Hospital came next with 5

consents followed by Al Noor Specialist Hospital Makkah and King

Fahad Hospital Jeddah having 4 consented cases each then 3

consents each was obtained from Imam Abdulrahman Al Faisal

Riyadh and Riyadh Care Hospital followed by King Abdulaziz

Medical City National Guard Hospital Riyadh, National Hospital

Riyadh, Sanad Hospital Riyadh, and King Saud Hospital Unaiza

having 2 consents each. Lastly, a consented case were taken from

Al Rass General Hospital, Hera General Hospital Makkah, King

Abdulaziz University Hospital Jeddah, King Abdulaziz Hospital

Jeddah, Maternity and Children Hospital Makkah, Obeid

Specialized Hospital Hofuf, King Abdullaziz Medical City Jeddah,

King Khalid Hospital Hail and King Salman Bin Abdulaziz Hospital

Riyadh

Medium sized hospitals, with 10-20 ICU beds, contributed with

25% (160 cases) of the total number of reported cases and 26

consents (25% of total consents) were obtained for organ

donation.

The most active hospitals in this group were Dammam Medical

Complex with 5 consents, King Fahad Hospital Hofuf with 4 then

followed by Al Bugshan Hospital Jeddah, Al Mana General Hospital

Dammam and Buraida Central Hospital with both 3 consented

cases. 2 consents for organ donation were taken from King Fahad

Medical Complex Dharhan and lastly, Al Eiman Hospital Riyadh, Al

Thager Hospital Jeddah, Hai Al Jamea Hospital Jeddah, King Fahad

Specialist Hospital Qassim, King Khalid Military Hospital Hafar Al

Batin and Saudi German Hospital Riyadh each with 1 consent

obtained.

Small sized hospitals, with less than 10 ICU beds, shared 79

possible deceased cases (12% of the total Possible DD) and 10

consents (10%) were obtained from them.

Among this group, Dallah Hospital, Riyadh and Qateef Central

Hospital were the most active with 2 consents each then followed

by Al Hayat Hospital Jeddah, Jubail General Hospital, King Khalid

General Hospital Hafar Al Batin, Kingdom Hospital Riyadh,

Maternity and Children Hospital Dammam and Shagra Hospital

Riyadh obtaining 1 consent each.

Activities of the organ sharing program between the Kingdom and

GCC countries showed that 29 Possible cases were reported in

SCOT and 19 consents were obtained under this program;

distributed between Kuwait Hospitals with (18 cases) and 1

consented case from Qatar Hospital (1 case).

Page 10: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

In 2016, there were 104 ICUs reporting possible DBD donors to the organ donation program in the Kingdom of Saudi Arabia. Over the years,

there was an increase in the number of ICUs contributing to this program see figure I.22.

Figure I.22: Annual trend of ICUs contributing in deceased donation program

Distribution of consents by region shows that 42 (41%) consents were obtained from the Central region (30 from MOH hospitals, 2 from Govt.

Non-MOH hospitals and 10 from private hospitals). The Eastern region came next with 21 consents which constitute 15 from MOH hospitals, 2

from Govt.-Non-MOH and 4 from Private. The Western region follows with 19 consents from 16 MOH hospitals, 1 Govt.-Non-MOH and 2 from

Private hospitals and the Northern region with 1 consented case from MOH hospital. It is also worth noting that Hospitals from Outside the

Kingdom yielded 19 consents which in turn contributed to the total consents obtained for deceased organ donation (see table 1.5).

Region Possible DD Consent for Organ

Donation Actual DD

Central

(Riyadh, Kharj and Qassim) 235 42 39

Western

(Jeddah, Makkah, Madinah & Taif) 166 19 18

Eastern

(Dammam, Hofuf, Al Khobar, Dhahran, Khafji, Qateef, Jubail

& Hafar Al Baten)

113 21 17

Northern

(Tabuk, Al Jouf, Hail and Northern Borders) 69 1 0

Southern

(Assir, Al Baha, Gizan & Najran) 34 0 0

Outside KSA

(Kuwait, Qatar & Bahrain) 29 19 18

TOTAL 646 102 92

Table I.5: Distribution of possible, consented and actual deceased donors according to region 2016

The total number of 104 hospitals had reported 646 possible deceased donors (DD) during

the year 2016 with 102 consents obtained for organ donation &92 donors utilized for

transplantation purposes

1 8

30

36

33

36

33

42

58

62

58

59

68

70

73

61

65

68

73

75

83

83

83

85

97

95

94

92

10

3

10

4

10

4

198

6

198

7

198

8

198

9

199

0

199

1

199

2

199

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199

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0

200

1

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201

0

201

1

201

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201

3

201

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201

5

201

6

Page 11: Annual Report 2016 Deceased Donation after Brain Death in ... Report Deceased Organ Donation Chapter 2016.pdf · Annual Report 2016 Deceased Donation after Brain Death in the Kingdom

Donation after Brain Death (DBD) Donor

Possible, Potential, Eligible, Consented and Actual from Different Hospitals in Saudi Arabia 2016

Table I.6: Hospitals with ICU's Having More than 20 Beds

No. HOSPITAL NAME POSSIBLE POTENTIAL ELIGIBLE CONSENTED ACTUAL UTILIZED

1 KING SAUD MEDICAL CITY RIYADH 39 33 28 11 10 10

2 KING KHALID HOSPITAL HAIL 31 17 3 1 0 0

3 AL NOOR SPECIALIZED HOSPITAL MAKKAH 29 20 18 4 4 4

4 KING FAHAD HOSPITAL JEDDAH 29 14 14 4 4 4

5 KING ABDULAZIZ MEDICAL CITY RIYADH 27 20 18 2 2 2

6 PRINCE METEB BIN ABDULAZIZ HOSPITAL AL JOUF 15 5 3 0 0 0

7 ASSIR CENTRAL HOSPITAL 14 6 6 0 0 0

8 IMAM ABDULRAHMAN AL FAISAL HOSPITAL RIYADH 12 7 6 3 3 3

9 PRINCE MOHAMMED BIN ABDULAZIZ HOSPITAL RIYADH 11 8 8 5 4 4

10 AL HADA MILITARY HOSPITAL 10 5 5 0 0 0

11 KING KHALID UNIVERSITY HOSPITAL RIYADH 10 5 5 0 0 0

12 KING KHALID HOSPITAL TABUK 10 2 1 0 0 0

13 KING ABDULAZIZ UNIVERSITY HOSPITAL JEDDAH 9 7 7 1 1 1

14 KING FAHAD HOSPITAL MADINA 9 5 4 0 0 0

15 KING FAHAD HOSPITAL ALBAHA 9 4 4 0 0 0

16 NATIONAL HOSPITAL RIYADH 8 7 7 2 2 2

17 KING SAUD HOSPITAL UNAIZA 8 5 3 2 2 2

18 KING ABDULAZIZ HOSPITAL JEDDAH 8 3 2 1 1 1

19 RIYADH CARE HOSPITAL 7 6 5 3 3 2

20 PRINCE SULTAN MILITRAY MEDICAL CITY RIYADH 7 4 4 0 0 0

21 ALQURRAYAT GENERAL HOSPITAL 6 2 1 0 0 0

22 KING ABDULLAH MEDICAL CITY MAKKAH 5 5 5 0 0 0

23 SECURITY FORCES HOSPITAL RIYADH 5 3 2 0 0 0

24 KING FAISAL HOSPITAL TAIF 5 1 0 0 0 0

25 KING ABDULAZIZ SPECIALIST HOSPITAL TAIF 5 0 0 0 0 0

26 KING SALMAN BIN ABDULAZIZ HOSPITAL RIYADH 4 3 3 1 1 1

27 KING ABDULAZIZ MEDICAL CITY JEDDAH 4 3 2 1 1 1

28 DR. SULAIMAN AL HABIB HOSPITAL (TAKHASSUSSI) 4 3 3 0 0 0

29 SANAD HOSPITAL RIYADH 3 3 3 2 2 2

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30 ALRASS GENERAL HOSPITAL 3 2 2 1 1 1

31 MATERNITY AND CHILDREN HOSPITAL MAKKAH 3 2 2 1 1 1

32 HERA HOSPITAL MAKKAH 3 2 1 1 1 1

33 AR’AR CENTRAL HOSPITAL 3 2 1 0 0 0

34 ALYAMAMA HOSPITAL RIYADH 2 2 2 0 0 0

35 KING FAHAD MEDICAL CITY HOSPITAL RIYADH 2 2 2 0 0 0

36 DR. SULAIMAN AL HABIB HOSPITAL (AL RAYAN) 2 1 1 0 0 0

37 DR. SULAIMAN AL HABIB HOSPITAL (QASSIM) 2 1 1 0 0 0

38 ABOU ARISH GENERAL HOSPITAL 2 0 0 0 0 0

39 KING SALMAN MILITARY HOSPITAL TABUK 2 0 0 0 0 0

40 OBEID SPECIALIZED HOSPITAL HOFUF 1 1 1 1 1 1

41 INTERNATIONAL EXTENDED CARE HOSPITAL JEDDAH 1 1 1 0 0 0

42 KING ABDULAZIZ MEDICAL CITY AL HASSA 1 1 1 0 0 0

43 KING FAISAL SPECIALIST HOSPITAL RIYADH 1 1 1 0 0 0

44 MATERNITY AND CHILDREN HOSPITAL JEDDAH 1 1 1 0 0 0

45 OHUD HOSPITAL MADINA 1 1 0 0 0 0

46 AL HAMADI HOSPITAL RIYADH 1 0 0 0 0 0

47 DR. ERFAN BAGEDO HOSPITAL JEDDAH 1 0 0 0 0 0

48 KING ABDULLAH HOSPITAL BISHA 1 0 0 0 0 0

49 KING FAHAD ARMED FORCES HOSPITAL JEDDAH 1 0 0 0 0 0

50 KING FAISAL SPECIALIST HOSPITAL JEDDAH 1 0 0 0 0 0

Total

378

(59%)* 226 187

47

(46%) ** 44 43

(*) Percentage from total possible donors, (**) Percentage from total consented donors

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Table 1.7: Hospitals with ICU’s Having 10 to 20 Beds

No. HOSPITAL NAME POSSIBLE POTENTIAL ELIGIBLE CONSENTED ACTUAL UTILIZED

1 DAMMAM MEDICAL COMPLEX 28 17 13 5 4 4

2 BURAIDA CENTRAL HOSPITAL 26 22 19 3 3 3

3 KING FAHAD HOSPITAL HOFUF 15 10 7 4 3 3

4 AL MANA GENERAL HOSPITAL DAMMAM 12 11 9 3 2 2

5 AL THAGER HOSPITAL JEDDAH 11 3 2 1 1 1

6 SAUDI GERMAN HOSPITAL RIYADH 9 8 7 1 1 1

7 AL EIMAN HOSPITAL RIYADH 9 6 4 1 1 1

8 KING FAHAD HOSPITAL ALKHOBAR 9 3 3 0 0 0

9 AL BUGSHAN HOSPITAL JEDDAH 7 5 5 3 2 2

10 KING FAISAL HOSPITAL MAKKAH 6 4 3 0 0 0

11 KING FAHAD MILITARY MEDICAL COMPLEX DHARHAN 4 4 3 2 2 2

12 KING ABDULAZIZ HOSPITAL MAKKAH 3 3 2 0 0 0

13 HAI AL JAMEA HOSPITAL JEDDAH 3 1 1 1 1 0

14 KING FAHAD SPECIALIST HOSPITAL QASSIM 2 2 2 1 0 0

15 AL MANA GENERAL HOSPITAL ALKHOBAR 2 1 0 0 0 0

16 KING FAHAD SPECIALIST HOSPITAL DAMMAM 2 1 0 0 0 0

17 KING FAHAD HOSPITAL GIZAN 2 0 0 0 0 0

18 KING KHALID HOSPITAL MAJMAAH 2 0 0 0 0 0

19 KING KHALID MILITARY HOSPITAL HAFAR AL BATIN 1 1 1 1 1 1

20 DR. ABDULRAHMAN AL MISHARI HOSPITAL RIYADH 1 1 1 0 0 0

21 INTERNATIONAL MEDICAL CENTER JEDDAH 1 1 1 0 0 0

22 KING ABDULLAH MEDCIAL COMPLEX JEDDAH 1 1 1 0 0 0

23 MATERNITY AND CHILDREN HOSPITAL JEDDAH (AZIZIAH) 1 1 1 0 0 0

24 AL JEDAANI HOSPITAL 1 0 0 0 0 0

25 OBEID HOSPITAL RIYADH 1 0 0 0 0 0

26 SAUDI GERMAN HOSPITAL JEDDAH 1 0 0 0 0 0

Total 160

(25%)* 106 85

26

(25%) ** 21 20

(*) Percentage from total possible donors, (**) Percentage from total consented donors

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Table 1.8: Hospitals with ICU’s Having Less than 10 Beds

No. HOSPITAL NAME POSSIBLE POTENTIAL ELIGIBLE CONSENTED ACTUAL UTILIZED

1 QATEEF CENTRAL HOSPITAL 11 4 4 2 2 2

2 DALLAH HOSPITAL RIYADH 10 10 7 2 2 2

3 KING KHALID GENERAL HOSPITAL HAFAR AL BATIN 9 6 3 1 0 0

4 MATERNITY AND CHILDREN HOSPITAL BURAIDA 7 6 3 0 0 0

5 MATERNITY AND CHILDREN HOSPITAL DAMMAM 5 4 3 1 1 1

6 AL HAMADI HOSPITA (SWAIDI) 5 1 1 0 0 0

7 SHAROURA GENERAL HOSPITAL 4 3 1 0 0 0

8 AL MOWASAT HOSPITAL DAMMAM 4 2 2 0 0 0

9 KINGDOM HOSPITAL RIYADH 3 3 3 1 1 1

10 AL HAYAT HOSPITAL JEDDAH 3 2 2 1 1 1

11 JOHNS HOPKINS ARAMCO HOSPIAL DHARHAN 3 3 3 0 0 0

12 JUBAIL GENERAL HOSPITAL 2 2 2 1 1 1

13 SHAGRA HOSPITAL RIYADH 2 1 1 1 1 1

14 AL MOSTAQBAL HOSPITAL JEDDAH 2 1 1 0 0 0

15 RAFHA GENERAL HOSPITAL 2 1 0 0 0 0

16 AL MOUSA HOSPITAL AL HASSA 2 0 0 0 0 0

17 PRINCE MISHARI BINSAUD HOSPITAL BELJARAISY 2 0 0 0 0 0

18 PROCARE RIAYA HOSPITAL ALKHOBAR 1 1 1 0 0 0

19 SAUD AL BABTAIN CARDIAC CENTER 1 1 1 0 0 0

20 ROYAL COMMISSION MEDICAL CENTER YANBU 1 1 0 0 0 0

Total 79

(12%)* 52 38

10

(10%) ** 9 9

(*) Percentage from total possible donor (**) Percentage from total consented donors

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Table 1.9: Hospitals outside the Kingdom of Saudi Arabia

No HOSPITAL NAME POSSIBLE POTENTIAL ELIGIBLE CONSENTED ACTUAL UTILZED

1 AL ADAN HOSPITAL KUWAIT 15 15 13 11 10 10

2 SALMANIYA HOSPITAL BAHRAIN 4 1 0 0 0 0

3 FARWANIYA HOSPITAL KUWAIT 3 3 3 3 3 3

4 AMIRI HOSPITAL KUWAIT 2 2 2 2 2 2

5 JAHRA HOSPITAL KUWAIT 2 2 2 0 0 0

6 IBN SINA HOSPITAL KUWAIT 1 1 1 1 1 1

7 HAMAD MEDICAL CENTER QATAR 1 1 1 1 1 1

8 MUBARAK HOSPITAL KUWAIT 1 1 1 1 1 1

TOTAL 29 26 23 19 18 18

Table 1.10 Total Number of DBD Donor for All Hospitals

Hospital Name Possible DD Potential DD Eligible DD Consented DD Actual DD Utilized DD

Greater than 20 ICU Beds 378 226 187 47 44 43

10 - 20 ICU Beds 160 106 85 26 21 20

Less than 10 ICU Beds 79 52 38 10 9 9

Outside KSA 29 26 23 19 18 13*

TOTAL 646 410 333 102 92 85