Paediatric Organ Donation
The Organ Donation Task Force (2008) saw an associated 50% increase in donation within the overall population, this was not reflected in paediatrics where rates did not increase until 2013 – 14.
Deceased paediatric donors, transplants and active transplant list in the UK
There are twenty seven Paediatric Intensive Care Units (PICU) across the country with around 13,000 children admitted each year; nearly half of those being under one year of age. It is relatively rare for children to die in a Paediatric Intensive Care Unit; compared to adults admitted to intensive care, the survival rates for paediatric patients are much higher, with over 95% survival. (source: Paediatric Intensive Care Medicine - Royal College of Paediatrics and Child Health).
UK consent rates for paediatric organ donation fall below the national average for the adult population.
DBD and DCD consent/authorisation rates by age group and donor type, 1 April 2015 to 31 March 2016
End of life care guidance and practice does differ from adult practice and care of the family unit as a whole is a core key principle. PICU systems should never prevent families being offered the opportunity to donate if this is a possibility.
Guidance endorsed by the Paediatric Intensive Care Society supports Department of Health, NICE and NHSBT guidance to ensure donation is a routine part of end of life care. Visit the Paediatric Intensive Care Society website and view the PICS standards. Specific benchmarking data is also available.Next section: Living Donation