PubMed · 2381827
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A Faulkner. A crying need.. https://pubmed.ncbi.nlm.nih.gov/2381827/
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In this article the results of a 2-year intervention designed to increase rates of organ donation while improving services to bereaved families of potential donors are described. The project focused on improving key elements of the organ donation process. The intervention was implemented in 50 hospitals within the service areas of three organ procurement organizations. Results show an increase in identification, referral, and asking rates. The overall donation rate increased significantly, from 33% to 43%. However, consent rates remained unchanged. Future efforts should focus on improving the request process by systematically incorporating practices that are associated with higher consent rates. This should enable hospital and organ procurement organization staff to appropriately and effectively offer families the option of organ donation; further increases in organ donation should follow.
The ever continuing search for risk factors in coronary heart disease must not overshadow psychological data despite the difficulties in conducting surveys. An evaluation of bereavement, a universal manifestation in humans, can provide some answers. Epidemiological studies have demonstrated that psychic or somatic complications associated with bereavement are not uncommon and occur in approximately 5% of the cases. Moreover, ischemic heart disease is the most common manifestation of somatic complications. The pathogenic mechanics of ischemic heart disease in bereavement involve both organic and psychological, often intermingled in a complex way leading to accelerated disease progression.