1. Trends in consent rates
for organ donation
Claire Hamilton

2. Overview Summary PDA data Consultation of ODR and consent rates
Trends in ODR consultation and consent rates

3. PDA Data Audited deaths Non-cardiothoracic ICUs in UK
Patients aged 75 years and under
Audit started in April 2003
18 months: 1 April 2007 – 30 September 2008
Forms received by 29 January 2009

4. Potential for HB donation Results
Audited patient deaths ,203
Ever on mechanical ventilation ,386
Brain stem death possible diagnosis ,265
Brain stem tests performed ,740 (77%)
Death diagnosed following brain stem tests 1,703

5. HB Results (2) N Potential HB donor 1,694
(confirmed BSD no absolute medical contraindications)
Referred to coordinators ,470 (87%) of 1,694
Families approached ,521
Consent for solid organ donation
Given (62%) of 1,521
Not given (38%) of 1,521
Actual solid organ donors (90%) of 950 with consent
(51%) of 1,694 potential

6. Consent rates by patient demographics
Patient age group
56% 59% 65% 59% 66% 67% p=0.1
Patient sex
Male Female
63% 62% p=0.9
Patient ethnicity
White Non-white
69% 31% p<0.001

7. Organ Donor Register
Consent rate = 93%
Consent rate = 60%

8. Organ Donor Register
Consent rate = 30%

9. Trends in consultation rates
Potential HB donors where solid organ donation was considered
Proportion for whom the ODR was consulted
By quarter
1 April 2005 to 30 September 2008

10. Trends in ODR consultation rates
% ODR consulted

11. Trends in consent rates
Potential HB donors where family were approached for consent
Consent rates for two groups
Patient registered on ODR
Patient not registered on ODR or ODR not consulted
Consent rate overall

12. Trends in consent rates

13. Potential for NHB donation
Results N
Audited patient deaths ,203
Ever on mechanical ventilation ,386
Not confirmed BSD ,683
NHB donation possible ,502
Treatment was withdrawn ,718

14. Potential for NHB donation
Results N
Potential NHB donor ,718
Referred to coordinators (41%)
Families approached 703
Consent for donation
Given (57%) of 703
Not given (43%) of 703
Actual NHB solid organ donors (57%) of 399 with consent
(13%) of 1,718 potential

15. Organ Donor Register
Consent rate = 90%
Consent rate = 56%

16. Organ Donor Register
Consent rate = 25%

17. Summary HB NHB Of cases where family approached
ODR was consulted 87% 83%
Overall consent rate 62% 57%
Consent rate:
patient on ODR 93% 90%
patient not on ODR 60% 56%
patient’s ODR status unknown 30% 25%
Consultation of ODR increasing for potential donors

18. Acknowledgements
Thank you to all those people who collect data for the Potential Donor Audit.