THUẬN LỢI VÀ KHÓ KHĂN TRONG TIẾP CẬN GIA ĐÌNH NGƯỜI HIẾN MÔ - TẠNG TIỀM NĂNG: KẾT QUẢ TẠI BỆNH VIỆN CHỢ RẪY NĂM 2025

Abstract

Background: Organ and tissue donation for transplantation in patients with end-stage organ failure is a profoundly humanitarian act performed at the end of life in cases of brain death or circulatory death. How can a brain-dead or circulatory-death donor case be successfully realized? This question requires coordinated answers from multiple stakeholders. Aims: To describe the advantages and disadvantages of accessing the families of potential organ/tissue donors at Cho Ray Hospital in 2025. Materials and methods: A retrospective descriptive study of potential organ and tissue donors whose cases were reported to the Organ Transplant Coordination Unit in 2025. Variables were analyzed using descriptive statistics. Results: In 2025, 80 potential donor cases were reported. Information was initiated by healthcare workers in 75/80 cases (93.7%) and by families in 5/80 cases (6.3%). Mean age was 43.5 ± 14.9 years. Sex distribution: 66/80 (82.5%) male and 14/80 (17.5%) female. Only 4/80 (5.0%) had registered for organ donation prior to admission. Approach outcomes: 50/80 families (62.5%) declined donation; 14/80 (17.5%) agreed (11.2% did not meet medical eligibility criteria and 6.3% proceeded to successful donation); 20.0% were not approached or refused from the outset. Retrieved grafts included 10 kidneys, 4 livers, 3 hearts, 3 lungs, 2 skin grafts, and 6 corneas, benefiting 31 transplant recipients. In collaboration with the National Coordination Center, 2 lungs, 2 split livers, 1 heart, and 2 corneas were allocated to other transplant centers in Hanoi, Central Vietnam, and Ho Chi Minh City. Conclusion: Establishing interdisciplinary collaborative practice procedures for identifying, managing potential donors, and organ-tissue allocation is essential.