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© ANZDATA Registry ORGAN PROCUREMENT CHAPTER 9. © ANZDATA Registry Figure 9.1 Number of Donors** by Retrieval State (X) 2006 - 2010 ( ) Donors Per Million.

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Presentation on theme: "© ANZDATA Registry ORGAN PROCUREMENT CHAPTER 9. © ANZDATA Registry Figure 9.1 Number of Donors** by Retrieval State (X) 2006 - 2010 ( ) Donors Per Million."— Presentation transcript:

1 © ANZDATA Registry ORGAN PROCUREMENT CHAPTER 9

2 © ANZDATA Registry Figure 9.1 Number of Donors** by Retrieval State (X) 2006 - 2010 ( ) Donors Per Million 20062007200820092010 Queensland36 (9)39 (9)48 (11)47 (11)49 (11) New South Wales + *49 (7+) (7*)53 (8+) (8*)57 (8+) (8*)68 (10+) (10*)87 (12+) (12*) ACT + *4 (7+) (12*)1 (2+) (3*)5 (9+) (14.5*)8 (14+) (23*)10 (17+) (28*) Victoria 46 (x) (9) 55 (11)67 (13)65 (x) (12)98 (x) (18) Tasmania8 (16)1 (2)8 (16)5 (10)10 (20) South Australia36 (23)27 (17)43 (27)33 (20)31 (19) Northern Territory2 (10)3 (14) 2 (9) Western Australia21 (10)19 (9)28 (13)19 (8.5)22 (10) Australia 202 (9.8)198 (9.4)259 (12.1)247 (11.3)309 (13.8) New Zealand 25 (6.0)38 (9.0)31 (7.3)43 (10.0)41 (9.4) (x) Refers to donors retrieved by retrieval State (ie Albury-NSW donors retrieved by Victoria) + NSW population excludes residents of the NSW Southern Area Health Service (included in ACT population * NSW population includes residents of the NSW Southern Area Health Service (excluded from ACT population) Medical services from the ACT service the NSW Southern Area Health Region. Population data—June 2008 ABS 3101.0 ** This figure relates to the number of donors for whom the retrieval operation commenced for the purpose of transplantation. It includes donors who may have been deemed medically unsuitable at the time of surgery or after removal of organs.

3 © ANZDATA Registry Figure 9.2 Donors per Million Population and Donors per Thousand Deaths ( ) Australian States - Australia and New Zealand 2004 - 2009 YearQLDNSW *ACT *VICTASSANTWAAUSTNZ 200410 (1.6)9 (1.4)19 (4.2)9 (1.4)4 (0.5)25 (3.4)5 (1.1)12 (2.1)11 (1.6)10 (1.4) 20059 (1.5)8 (1.2)28 (6.0)10 (1.5)4 (0.5)13 (1.7)20 (4.1)15 (2.6)10 (1.6)7 (1.1) 20069 (1.5)7 (1.1)12 (2.7)9 (1.3)16 (2.0)23 (3.0)10 (2.1)10 (1.8)10 (1.5)9 (0.9) 20079 (1.5)8 (1.1)3 (0.6)11 (1.6)2 (0.2)17 (2.1)14 (3.0)9 (1.5)9 (1.4)9 (1.3) 200811 (1.7)8 (1.2)14.5 (3.0)13 (1.9)16 (1.9)27 (3.4)14 (2.9)13 (2.2)12 (1.8)7 (1.1) 200911 (1.8)10 (1.5)14 (5.1)12 (1.8)10 (1.2)20 (2.7)9 (2.1)9 (1.5)11 (1.8)10 (1.5)

4 © ANZDATA Registry Figure 9.3 Donors per Thousand Deaths Aged < 75 years 2004 - 2009 ( ) Is the % Deaths < 75 years as a Proportion of all Deaths* Year QLDNSWACTVICTASSANTWA AUSTNZ 20044.0 (39%)3.7 (35%)10.1 (42%)3.7 (34%)1.4 (36%)9.8 (34%)1.4 (78%)4.8 (40%)4.3 (37%)3.4 (48%) 20053.6 (39%)3.2 (36%)16.5 (36%)4.4 (35%)1.3 (37%)4.8 (34%)5.1 (78%)6.3 (39%)4.1 (37%)2.7 (40%) 20063.8 (38%)2.9 (34%)7.0 (38%)4.0 (33%)5.6 (36%)9.0 (32%)2.8 (76%)4.6 (39%)4.1 (36%)2.3 (39%) 20073.9 (38%)3.0 (34%)1.6 (40%)4.9 (33%)0.6 (35%)5.9 (32%)3.9 (77%)3.9 (39%)4.0 (35%)3.4 (38%) 20084.7 (38%)3.4 (33%)8.1 (36%)5.6 (33%)5.5 (35%)10.4 (31%)3.9 (74%)5.4 (38%)5.0 (34%)2.9 (38%) 20094.6 (35%)4.2 (34%)13.0 (39%)5.4 (33%)3.3 (36%)7.9 (33%)2.7 (77%)3.7 (39%)4.9 (35%)3.9 (38%)

5 © ANZDATA Registry Figure 9.4

6 © ANZDATA Registry Figure 9.7 - Aust

7 © ANZDATA Registry Figure 9.7 - NZ

8 © ANZDATA Registry Figure 9.8 Cause of Donor Death 2003 - 2010 QLDNSWACTVICTASSANTWAAUSTNZ * CVA 45%54%53%55%42%52%61%51%52%58% Trauma (road) 21%15%20%10%13%11%22%19%15%20% Trauma (non-road) 14%8%12%8%18%10%11%15%11%8% Hypoxia-Anoxia 17%18%14%22%24%23%0%11%18%10% Cerebral Tumour 1% 0%1%0%1%0%2%1%<1% Other 2%4%1%4%3% 6%2%3% * NZ 2006 - 2010

9 © ANZDATA Registry Figure 9.9 Cause of Donor Death 2010 Causes of Death AustraliaNew Zealand MaleFemaleTotalMaleFemaleTotal CVA Cerebral Infarct9312213 Intracranial Haemorrhage382260167 Subarachnoid Haemorrhage3646825712 Road Trauma Cyclist415112 Motor Bike Accident415202 Motor Vehicle Accident11819145 Pedestrian9514000 Other Road Accident101000 Other Trauma Fall13114022 Felony / Crime - Assault404000 Gunshot101101 Other Accident505101 Hypoxia Anoxia Asthma303000 Carbon Monoxide101000 Cardiac Arrest212041101 Choking112000 Drowning404000 Epilepsy011000 Hanging3710000 Hydrocephalus000101 Myocardial Infarction101000 Overdose101000 Pulmonary Embolism022000 Secondary Collapse-Apert Syndrome101000 Seizure101000 Cerebral Tumour Glioma (Malignant)101000 Glioma (Benign)000101 Meningioma (Benign)011000 Oligoastrocytoma (Benign)011000 Other Acute Obstructive Hydrocephalus101000 Cerebral Oedema7310101 Medullary Neurosarcoid011000 Meningioma (Benign)000011 Meningitis (Gram Negative)101000 Meningitis (Pneumococcal)011000 Self Inflicted Stab Wound000101 Snake Bite011000 Suicide-Nail Gun101000 Total 183126309192241

10 © ANZDATA Registry Figure 9.10 Cause of Donor Death Related to Age Group 2010 Australia Total New Zealand Total Age Groups 0-1415-3435-5455 on0-1415-3435-5455 on CVA 0116479154 (50%)0412622 (54%) Trauma (road) 12315544 (14%)06129 (22%) Trauma (non-road) 0412824 (8%)01124 (10%) Hypoxia-Anoxia 517242268 (22%)02002 (5%) Cerebral Tumour 0120 3 (1%)00011 (2%) Other 375116 (5%)01113 (7%) Total 963122115309014151241

11 © ANZDATA Registry Figure 9.11 Donation after Cardiac Death Donors 1989 - 2010 QLDNSWACTVICTASSANTWAAustNZ 1989 000101002- 1990 020001003- 1991 020000002- 1992 010000001- 1993 0000000000 1994 0000010011 1995 0301000040 1996 1100000020 1997 0200010031 1998 0000020020 1999 1000000010 2000 0000001010 2001 0101000020 2002 0000011020 2003 0100000010 2004 0200000130 2005 0800010090 2006 0401030080 2007 08090200190 2008 510230300232 2009 5152170300422 2010 13243 0500691 Total 2584757024212007

12 © ANZDATA Registry Figure 9.12 Donation After Cardiac Death Donors 1989 - 2010 Organs Transplanted or Sent to Tissue Bank in Australia Donor State89909192939495969798990001020304050607080910Total Queensland Kidneys00000002002000000001082547 Lungs00000000000000000000235 Cornea000000020000000000000810 Bone00000000000000000002068 Heart Valves000000010010000000032310 Total000000050030000000015124580 New South Wales Kidneys043200524000002416813182745153 Liver000000000000000000124613 Lungs000000000000000000245819 Cornea02000002000020041028842062 Bone00000000000000000001135 Heart Valves0000000110000000533661035 Total0632005550002028311327394792287 ACT Kidneys 000000000000000000044412 Liver 00000000000000000000022 Lungs 00000000000000000002013 Cornea 00000000000000000002046 Heart Valves 00000000000000000002013 Total00000000000000000001041226 Victoria Kidneys200000200000100000126303386 Liver00000000000000000012025 Lungs0000000000000000015171327 (L) Lung00000000000000000000101 (R) Lung00000000000000000000101 Pancreas00000000000000000010001 Cornea200000000000200002104203777 Bone00000000000000000011237 Heart Valves0000000000001000004121119 Tissue00000000000000000011136 Total400000200000400003351664102230 South Australia Kidneys2000000014000200242561038 Liver00000000000000000110024 Lungs00000000000000000110024 Cornea220002002000020002004622 Bone10000100000000000100003 Heart Valves01000000000000000010114 Total53000300340004002955112175 Northern Territory Kidneys00000000000202000000004 Western Australia Kidneys00000000000000020000002 Australian Total9932037108432662 33256785138272704

13 © ANZDATA Registry Figure 9.13 Donation after Cardiac Death Donors 1989 - 2010 Organs Transplanted or Sent to Tissue Bank in Australia Organs89909192939495969798990001020304050607080910Total Kidneys44320074542214261812274375117342 Liver0000000000000000013441224 Lungs00000000000000000287142758 (L) Lung00000000000000000000101 (R) Lung00000000000000000000101 Pancreas00000000000000000010001 Cornea440002042000420410618142875177 Bone1000010000000000011431223 Heart Valves010000021010100053812112671 Tissue00000000000000000011136 Total9932037108432662 33256785138272704

14 © ANZDATA Registry Figure 9.14 Multiple Organ Retrieval 2005 - 2010 Number of Organs AustraliaNew Zealand 200520062007200820092010200520062007200820092010 Single17%11%15.5%17% 19%14%8%16%19%16%22% Two22%23% 20%32%34%24%40%23%35%29% Three17%23% 25%27%20%21%44%26%39%33%29% Four32%23%20% 19%18%28%12%18%16%9%12% Five10%18%15.5%14% 9%3%12%0%3%2%0% No organs2%1%3%1%3%2%0% 5%7%

15 © ANZDATA Registry Figure 9.15 State by State Comparison of Multiple Organ Retrieval 2010 Number of Organs QLDNSWACTVICTASSANTWA AUSTNZ Single14 (29%)18 (20%)0 (0%)18 (18%)1 (10%)7 (22.5%)0 (0%)2 (9%)60 (19%) 9 (22%) Two14 (29%)31 (35%)3 (30%)24 (25%)5 (50%)8 (26%)1 (50%)12 (55%)98 (32%)12 (29%) Three12 (24%)12 (14%)4 (40%)22 (23%)0 (0%)7 (22.5%)0 (0%)4 (18%)61 (20%)12 (29%) Four8 (16%)13 (15%)1 (10%)21 (22%)3 (30%)4 (13%)1 (50%)4 (18%)57 (18%)5 (12%) Five1 (2%)11 (13%)1 (10%)10 (10%)1 (10%)4 (13%)0 (0%) 28 (9%)0 (0%) No organs0 (0%)3 (3%)1 (10%)2 (2%)0 (0%)1 (3%)0 (0%) 7 (2%)3 (7%) Total4988 1097103122230941 NB: 2 kidneys = 1 organ, 2 lungs = 1 organ On occasions when only one kidney is retrieved, this is also defined as one organ

16 © ANZDATA Registry Figure 9.16 Organs Transplanted per Donor 2010 QLDNSWACTVICTASSANTWAAUSTNZ No. Organs Transplanted160285343033294772987112 No. of Donors4988 10 97 10 31 2 22 30941 Mean per Donor3.33.23.43.13.23.03.53.33.22.7 Double Lungs = one organ Kidney-Pancreas, Kidney-Heart, Kidney-Liver, Heart/Lungs = two organs

17 © ANZDATA Registry Figure 9.17

18 © ANZDATA Registry Figure 9.18 Organs Transplanted by Donor State in Australia and New Zealand 2010 Organs Transplanted QLDNSWACTVICTASSANTWA AUSTNZ Kidney9415618164175344254852 Liver274965151621717330 Liver (Left)36221200162 Liver (Right)36221100152 Heart111712424066511 Heart/Lungs0000010230 Lungs15332432101411012 Lung (Left)2100010040 Lung (Right)1112010060 Pancreas1141122301343 Pancreas Islets32131200120 Intestines0000100010 Total160285343033294772987112

19 © ANZDATA Registry Figure 9.19 - Aust

20 © ANZDATA Registry Figure 9.19 - NZ

21 © ANZDATA Registry Figure 9.20 Refer to Appendices for reasons kidneys were not requested, not retrieved and not transplanted. For more detail please refer to Website: www.anzdata.org.au/anzod

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