Transplantation, Telemedicine
Conditions
Brief summary
In the complex process of organ transplant, two of the major steps are: 1. evaluation of the organs of potential donors in health institutions: 2. proposing grafts to the transplant teams, according to rules defined at the national level. In the absence of the possibility of transmitting the images between the deceased donor sites and the transplant teams, the visualization of these examinations does not take part in the decision-making of the transplant team. This leads in the displacement of the transplant team in order to verify the grafts after acceptance of the graft proposal. The Cristal Image project is a visualisation project for the transplant teams, in real time, at the time of the proposal of the graft so that they can give an opinion (acceptance, refusal) in less than 20 minutes (legal delay for a vital organ) after analyzing the medical records provided and the imaging data (scanner, ultrasound (s), coronary angiography, etc.). The hypothesis of the project is that the implementation of a secure image transmission (complete anonymisation of the data of the donor) before the acceptance by the team, will allow an optimization of the use of the qualified organs by reducing risks, unnecessary displacement of transplant surgical teams, and securing the allocation of organs to recipient patients.
Interventions
DEVICEAfter Group
Sponsors
Ministry of Health, France
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* French Donors who died in brain death, at least one organ of which was proposed for transplantation (kidneys, liver, heart, lung); Recipients transplanted during the same periods.
Exclusion criteria
* Donors who died after cardiac arrest * Donors taken care in a foreign country or outside the Metropolitan France
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of successful organ transplantation among those sampled. | 3 months after transplantation for kidney, 1 year after transplantation for the other organs |
Secondary
| Measure | Time frame |
|---|---|
| Number of useless graft transportation | Immediately after the decision of the transplant team |
| Number of useless graft team transportation | Immediately after the decision of the transplant team |
| Mortality or function stop | 1 year after transplantation |
| Number of assigned organs but not sampled | Immediately after the decision of the transplant team |
| Cost of sampling process | Immediately after the sampling process |
| Use of image transmission by the graft team | Immediately after decision of the transplant team to accept or not the graft |
| Duration of the graft assignment | Immediately after graft assignment |
Countries
France
Contacts
Primary ContactIsabelle Durand-Zaleski, MD, PhD
Outcome results
None listed