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eligible death

Although it is recognized that this definition does not include all potential donors, for reporting purposes for DSA performance assessment, an eligible death for organ donation is defined as the death of a patient 70 years old or younger who ultimately is legally declared brain dead according to hospital policy, and: independent of family decision regarding donation or availability of next-of-kin; independent of medical examiner or coroner involvement in the case; independent of local acceptance criteria or transplant center practice; and who exhibits none of the following :

  • Active infections (specific diagnoses) (Exclusions to the Definition of Eligible) :
    • Bacterial: Tuberculosis; Gangrenous bowel or perforated bowel and/or intra-abdominal sepsis; see sepsis below under General.
    • Viral: HIV infection by serologic or molecular detection; Rabies; Reactive Hepatitis B Surface Antigen; Retroviral infections including HTLV I/II; Viral Encephalitis or Meningitis; Active Herpes simplex, varicella zoster, or cytomegalovirus viremia or pneumonia; Acute Epstein Barr Virus (mononucleosis); West Nile Virus infection; SARS.
    • Fungal: Active infection with Cryptococcus, Aspergillus, Histoplasma, Coccidioides; Active candidemia or invasive yeast infection.
    • Parasites: Active infection with Trypanosoma cruzi (Chagas'), Leishmania, Strongyloides, or Malaria (Plasmodium sp.).
    • Prion: Creutzfeldt-Jacob Disease.
  • General (Exclusions to the Definition of Eligible) :
    • Aplastic Anemia; Agranulocytosis; Extreme Immaturity (<500 grams or gestational age of <32 weeks); Current malignant neoplasms except non-melanoma skin cancers such as basal cell and squamous cell cancer and primary CNS tumors without evident metastatic disease ; Previous malignant neoplasms with current evident metastatic disease; A history of melanoma; Hematologic malignancies - Leukemia, Hodgkin's Disease, Lymphoma, Multiple Myeloma; Multi-system organ failure (MSOF) due to overwhelming sepsis or MSOF without sepsis defined as 3 or more systems in simultaneous failure for a period of 24 hours or more without response to treatment or resuscitation; Active Fungal, Parasitic, Viral, or Bacterial Meningitis or encephalitis.
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