一项研究评估意愿和决定因素死者的家庭成员尸体器官捐赠在印度北部的三级保健机构的尸体解剖

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-05-30 DOI:10.1016/j.cegh.2025.102078

Rajesh Kumar , Deepak Prakash , MD. Abu Bashar , Ajay Kumar Patel , Abhaykumar Binodkumar Dheeraj , Nishat Ahmed Sheikh

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引用次数: 0

摘要

目的本研究旨在评估印度北部某三级医疗机构死者家属的器官捐献意愿及其相关的社会人口学因素。方法采用前瞻性观察性研究方法，在我院法医学科进行；新德里全印度医学科学研究所的毒理学专家。所有符合器官捐献条件的法医尸检病例均纳入研究，排除有器官捐献禁忌症的病例。已联络家属/近亲属，征求其同意捐赠器官。结果研究期间共进行了811例法医尸检。其中，244例符合条件的尸体器官捐献个案，只有62例（25.4%）表示同意。与是否同意捐赠器官有显著关系的因素包括：事先对器官捐赠的了解、参与者的宗教信仰、参与者的教育程度、死者的捐赠承诺和医生的咨询。被调查者拒绝捐献器官最常见的原因是尸体毁容（19.2%）和宗教信仰（15.4%）。结论非自然死亡病例是进行法医解剖的主要潜在器官供体来源。然而，这些死亡病例中潜在的巨大供体池受到无法及时获得器官捐赠机会的病例和捐赠接受率低的影响。

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A study to assess willingness and determinants for cadaveric organ donation among family members of deceased individuals autopsied at a tertiary care institute of North India

Objective

The study aimed to assess the willingness for organ donation among the family members of deceased individuals whose bodies were brought for postmortem examination and the sociodemographic factors associated with it at a tertiary care institute in North India.

Methods

A prospective observational study was conducted at the Department of Forensic Medicine & Toxicology at the All India Institute of Medical Sciences, New Delhi. All medico-legal autopsy cases eligible for organ donation were included in the study, while cases with known contraindications to organ donation were excluded. The family member/immediate next of kin were approached for the consent for organ donation.

Results

A total of 811 medico-legal autopsies were performed during the study period. Among these, the family members of 244 eligible cases could be approached for cadaveric organ donation, of which only 62 (25.4 %) provided the consent. The factors found to be significantly associated with providing consent for organ donation were prior knowledge about organ donation, religion of the participant, education status of the participant, pledge to donation by the deceased individual and counselling provided by a doctor. The commonest reasons given by the participants for refusal of organ donations were disfigurement of the deceased's body (19.2 %) and the religious beliefs (15.4 %)

Conclusion

Unnatural deaths cases coming for medico-legal autopsy form a major potential pool of organ donors. However, a potentially large donor pool of these death cases is compromised by the lost opportunity cases which could not be approached timely for organ donation and the low acceptance rate for donation.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.