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RISS 인기검색어
- 검색키워드
- 저자 : Sanaz Dehghani (검색결과 2 건)
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The outcomes of marginal donor hearts compared with ideal donors: a single-center experience in Iran
Behnam Shakerian,Sanaz Dehghani,Haleh Ashraf,Shahrokh Karbalai,Abbas Soleimani,Atieh Rezaeefar,Zahra Shajari,Hamidreza Hekmat,Marzieh Latifi,Azadeh Sadatnaseri 대한이식학회 2022 Korean Journal of Transplantation Vol.36 No.2
Background: Heart transplantation has been considered the gold-standard treatment for patients with end-stage heart failure. This study assessed the survival outcomes of mar- ginal donor hearts compared with ideal donor hearts in Iran. Methods: This retrospective study is based on the follow-up data of heart donors and recipients in the Sina Hospital Organ Procurement Unit. Among the 93 participants, 75 were categorized as ideal donors (group A) and 18 as marginal donors (group B). Group C included heart recipients who received a standard organ, and group D included heart recipients who received a marginal one. To analyze differences in patient character- istics among the groups, posttransplant heart survival was assessed in all groups. All data were obtained from the hospital records. Results: The mean age of the donors was 26.27±11.44 years (median age, 28 years). The marginal age showed a significant association with donor age. The age of recipients had a significant effect on survival days in the ideal group. Most patients survived for at least 1 year, with a median of 645 days in recipients from marginal donors and 689 days in re- cipients from ideal donors. Conclusions: Considering the lack of organ availability in Iran, it may be possible to use marginal donors for marginal recipients, therefore reducing the number of people on the waitlist. We also recommend establishing a national marginal donor system specifically for Iranian patients to extend the donor pool.
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The influence of socioeconomic factors on deceased organ donation in Iran
Elahe Pourhosein,Farzaneh Bagherpour,Marzieh Latifi,Maryam Pourhosein,Gholamreza Pourmand,Farshad Namdari,Naghmeh Pourmand,Parisa Ghaffari,Sanaz Dehghani 대한이식학회 2022 Korean Journal of Transplantation Vol.36 No.1
Background: There is a large gap between the number of patients on organ waiting lists and the number of available organs for donation. This study investigated the socioeconomic factors in Iran that influenced decisions for organ donation among the families of brain-dead donors. Methods: This retrospective cross-sectional study was performed among the families of 333 organ donors in Iran. Two trained researchers interviewed family members about the donor’s age, sex, cause of brain death, education level, marital status, number of children, history of addiction, the financial status of the donor’s family, and reasons for which they considered refusing organ donation. Results: The mean age of the donors was 37.23±16.59 years. During 2017–2019, significant differences were found according to income (P<0.001), marital status (P<0.001), sex (P=0.04), and occupation (P=0.04). More than half of the organ donors were of low socioeconomic status, and nearly half were the sole income earners of large families. Trauma was the most common cause of death (44.6%). The most common reasons for which the families considered refusing organ donation were unfamiliarity with the concept of brain death, denial, and the expectation of a miracle. Conclusions: The donor’s socioeconomic status and availability of social services, such as insurance coverage, psychological services, and mourning therapy courses, play an important role in organ donation. Adequate support for the deceased’s family after organ donation is imperative.
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