A case in Città di Castello, one in Salerno and one in Turin. Only in the past few weeks. Despite the pandemic in Italy there are still organ donations and transplants. “The National Transplant Network has withstood the impact of the pandemic. An abrupt but contained slowdown in which to weigh, inevitably, was the saturation of intensive care, “trench” of the fight against Coronavirus, but in which the excellence of our country weighed even more, even recording European records: first transplants from coronavirus positive donors and first lung transplant on Covid-19 patient “he says Flavia Petrin National AIDO President.
According to the 2020 report of the National Transplant Center, the last published, 3,441 transplant operations were carried out, 373 less than in 2019 (-9.8%). In 2020, reports of potential resuscitation donors fell by 11.5% compared to 2019 and this led to a 10.4% decrease in organ harvesting from deceased donors. The final result is a rate of 20.5 donors per million inhabitants while over 8,000 patients are on the waiting list for transplantation.
In 2020, the rate of opposition to the withdrawal found in resuscitations, which went from 31.1% in 2019 to 30.2% in 2020.
“Covid-19 has also had a significant impact on another front of the transplant system: the registration of the will to donate. There were 1,960,705 new declarations issued in Italian municipalities in 2020 (the previous year there were over 2.4 million), but to weigh was the closure of the registry services during the first lockdown and the decision of the Government to extend the expiry of the old identity documents “, adds the president.
There are almost 9 million declarations in the Transplant Information System, of which over 6.5 million consents, but the opposition is still growing. In 2020, 33.6% of the declaring citizens said no to the donation, the highest percentage ever. The denial is recorded above all by the over 60s, while the propensity to donate among young adults is higher, among the 30-40 year-olds the consent rate is almost 75%.
Opposition is the greatest difficulty encountered, not only in a pandemic. “The reason for a constant opposition rate, over the years, at 30%, lies in the moment of the choice, too often made by those entitled to oppose the withdrawal (the non-separated spouse or cohabitant more uxorio and, failing that, relatives), in the difficult moment of the loss of their loved one».
The negative declaration for the removal of own organs depends on distrust in the health system, lack of knowledge on the subject of brain death, “From ignorance of the very possibility of donating (for example, often those over 65 mistakenly believe that they can no longer be valid candidates for donation), from a religious resistance in ethnic minorities (although the yes of religions is in agreement) … from the fact of never having thought of it. “
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