Table of Contents
Page Preface (Renal Replacement Therapy) 1
Hemodialysis 2
Hemodialysis Hospitals Region Wise 3
HD Data in KSA 14 Peritoneal Dialysis 35
PD Data in KSA 36
Prevalence and Incidence of Dialysis Patients 43
Preface (Deceased Organ Donation and Transplantation) 44 Deceased Donors after Brain Death & Organ Donation 45
Hospital Sharing in Organ Donation Program 52
Organ Transplantation 60
Kidney Transplantation 61 Liver Transplantation 65
Heart Transplantation 68
Lung Transplantation 70
Pancreas Transplantation 72
Corneal Recovery 74 Bone Banking 75
Organ Sharing between KSA and GCC Countries 76
Appendices
Responsibilities of SCOT 78 Regulations of Organ Transplantation in KSA 79
Memorandum by the Minister of Health on Deceased Organ Donation
80
Official Statement of the National Committee for the Diagnosis of Death by Neurological Criteria and Ventilator System
81
Purport of the Senior Ulama Commission 82
Resolution of the Council of Islamic Jurisprudence on Resuscitation Apparatus
83
Glossary 84 Abbreviations 85
Index
Tables 86
Figures 87
Health Statistics Annual Book, p.18; www.moh.gov.sa
Health Statistics Annual Book, p.14; www.moh.gov.sa
Health Statistics Annual Book, p.16; www.moh.gov.sa
1
ANNUAL REPORT 2014
Renal Replacement Therapy
Preface
The Annual Report of 2014 highlights the present status of ESRD patients in Renal Replacement
Therapy in the Kingdom of Saudi Arabia. SCOT as the central coordinating body in renal
replacement therapy have taken all necessary steps to ensure accuracy of all the information
and data in this annual report.
The incidence rate of patients suffering from ESRD in the kingdom has been consistently
increasing. Currently, 136 incidences of ESRD patients per million populations (PMP) were
recorded and were expected to grow to the upcoming years. From 1971 since the first dialysis
center was erected in the Kingdom, rapid advances have been made in the field of renal
replacement therapy to cater the growing numbers of patients with ESRD. Currently, Hemo-
dialysis (HD) and Peritoneal Dialysis (PD) were the most prepared modality of treatment for
patients with renal failure, with 187 HD & 35 PD hospitals and dialysis centers in the Kingdom
catering to 15,782 of patients.
2
ANNUAL REPORT 2014
Hemodialysis Introduction
In 2014, a total of 187 hospitals and dialysis
centers Units from Ministry of health, Gov’t
Non-MOH & Private sector hospitals were
catering the needs of ESRD patients,
utilizing 5732 hemodialysis machines with
4428 number of outlet connections
combined.
By the end of 2014, a total of 14366 patients
on Hemodialysis were recorded by SCOT, of
these 3687 were new patients. Blood group
among dialysis patients were also noted
with type O group averaging 52% and the
least were those of blood group AB with
4%. Age Distribution of patients reveals
that most were in the productive age group
of 26-65 years with a total of 75%. Sexes
were also recorded showing that male
patients composed 57% of patients and
female with (43%). By nationalities, Saudis
on HD are 84% compared to Non-Saudi
counterparts with 16%. Vascular access
among dialysis patients shows that AVF or
arteriovenous fistulas were the most
preferred site with 67% of the patients
having them.
Hepatitis B and C infection has been a
constant challenge among health care
provider in stopping the contamination
amongst patients undergoing Hemodialysis.
Hepatitis B infections were in good control
averaging 3.4% per year, while patients
diagnosed with Hepatitis C it is worth
mentioning that it has been contained for
the last five years with the current average
of 15.5% this year. Among Patients on
Hemodialysis, 59% were found to be
hypertensive, while 44% are diabetic.
The proportion of hemodialysis patients
treated with Erythropoietin ranges from 10
and 100% with average of 86%. Vitamin D’s
were also used with 51% given orally while
13% of the patients are receiving via
injectable route. Other medications such as
insulin and oral hypoglycemic were also
utilized with 21% of patients receiving
insulin, 9% on oral hypoglycemic and 11%
were put on diet control.
Active HD patient’s blood levels such as
Hematocrit, albumin and calcium were also
monitored. In which, 21% of HD patients
have Hct level of < 30%, 14% have albumin
of <30 g/dl, 27% have phosphorous levels
greater than 1.9 µmol/L and 22% have
calcium levels of less than 2.1 µmol/L.
Of the 14,366 patients on HD, 20% are in
the active waiting list or those patients
evaluated and are ready for renal
transplantation. While, the mortality rate
among HD patients by the end of 2014 were
11%
It was estimated that the numbers of
Dialysis patients will be increasing
continuously and numbers are expected to
climb up to 20,000 patients by the end of
2020.
3
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Central Region
MOH Hemodialysis Centers in Riyadh Region
N Hospital
1 Childrens Hospital (RMC)
2 Dawadmi General Hospital
3 Shagra General Hospital
4 Thadiq General Hospital
5 Afif General Hospital
6 Al Aflaj General Hospital
7 Al Ghat General Hosptal(PNSSH)
8 Al Iman General Hospital
9 Al Muzahimiya General Hospital
10 Al Qawaeyah General Hospital
11 Al Sulayel General Hospital
12 Al Zulfi General Hospital
13 Artawiya General Hospital
14 Hotat Bani Tamim General Hospital
15 Hotat Sudair General Hospital
16 Huraimala General Hospital
17 King Khalid Hospital- Al Kharj
18 King Khalid Hospital- Majma'ah
19 King Salman for Kidney Disease Riyadh
20 King Salman Hospital Riyadh
21 Nafee General Hospital
22 Prince Salman Bn Mohd- Delim
23 Rumah General Hospital
24 Ruwaidah Hospital
25 Sajir General Hospital
26 Tumair General Hospital
27 Wadi Dawasir General Hospital
28 King Saud Medical City- Riyadh
29 Prince Mohammad Bin Abdulaziz Hospital Hospital-Riyadh*
*Diaverum
4
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Central Region
Govt. Non-MOH Hemodialysis Centers in Riyadh Region
N Hospital
1 Al Kharj Military Industrial Corp. Hospital, Riyadh
2 King Faisal Specialist Hospital- Riyadh
3 King Abdulaziz Medical City, Riyadh (KFNGH)
4 King Khalid University Hospital- Riyadh
5 Prince Sultan Military Medical City - Riyadh
6 King Abdullah Hemodialysis Project-Riyadh South Center*
7 Security Forces Hospital – Riyadh**
*National Guard
**Diaverum
Private Hemodialysis Centers in Riyadh Region
N Hospital
1 Al Khawalid kidney & dialysis Center- Riyadh
2 Arab Medical Dar Dialysis Center- Riyadh
3 Dar Al Shifa Hospital- Riyadh
4 Dr. A. Al Mishari Hospital- Riyadh
5 Demas Dialysis Center
6 Dr. Ali Lahibi Dialysis Center, Riyadh
7 Dr. Suleiman Al Habeeb Medical Center- Riyadh
8 Riyadh Care Hospital
9 Riyadh National Hospital
10 Saudi German Hospital- Riyadh
11 Specialized Medical Center Hospital- Riyadh
12 Sultan B.A. Humanitarian City- Riyadh
13 Al Hammadi Hospital- Riyadh
14 Kingdom Hospital- Riyadh
5
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Central Region
MOH Hemodialysis Centers in Qassim Region
N Hospital
1 King Fahd Specialist Hospital- Buraida
2 King Saud Hospital Unaiza*
3 Al Asyah General Hospital
4 Al Bukariya General Hospital
5 Al Midnab General Hospital
6 Al Rass General Hospital
7 Ayun Al Juwah General Hospital
8 Buraida Central Hospital**
9 Dhariyah General Hospital
10 Oklat Al-Sugour General Hospital
11 Qiba General Hospital
12 Riyadh Al Khabra General Hospital
*Diaverum
**MOH Outsourcing Dialysis Program Davita
6
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Western Region
MOH Hemodialysis Centers in Makkah/Jeddah/Taif Region
N Hospital
1 Adhum General Hospital
2 Al Laith General Hospital
3 King Abdul Aziz Hospital - Jeddah**
4 King Abdul Aziz Specialist Hospital- Taif
5 King Faisal Hospital Makkah
6 King Fahad Hospital- Jeddah
7 Al Khurma Hospital
8 Al Noor Specialist Hospital
9 Al Qunfudah General Hospital*
10 King Abdul Aziz Hospital- Makkah
11 Messan General Hospital 12 Rabiq General Hospital
13 Raniah General Hospital
14 Turabah General Hospital
15 Prince Abdul Majid Dialysis Center*
*Diaverum
**Davita
Govt. Non-MOH Hemodialysis Centers in Makkah/Jeddah/Taif Region
N Hospital
1 Al Hada Armed Forces Hospital- Taif
2 King Abdul Aziz University Hospital- Jeddah
3 King Abdulaziz Medical City- Jeddah (KFNGH)
4 King Fahad Armed Forces Hospital- Jeddah
5 King Faisal Specialist Hospital- Jeddah
6 King Abdullah Hemodialysis Project-Jeddah*
*National Guard
7
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Western Region
Private Hemodialysis Centers in Makkah/Jeddah/Taif Region
N Hospital
1 Abdulakrim Bakr Medical Center, Jeddah
2 Al Bir Clinic 1 Charity D.C, (Al Kandara) Jeddah
3 Al Faisal Polyclinic- Jeddah
4 Al Mustagbal Hospital- Jeddah
5 Al Takaful Al- Khairy K.D.C Makkah
6 Asia Dialysis Center - Makkah
7 Charity Community Dialysis Center- Makkah
8 Dr. Abdurahman Baksh Hospital- Jeddah
9 Dr. Erfan and Bagedo- Jeddah
10 Dr. Suleiman Al Fakeeh Hospital- Jeddah
11 New Jeddah Clinic Hospital
12 Prince Mansour Charity Dialysis Center- Jeddah
13 Taibah Dialysis Center- Makkah
14 Al Bir Charity Dialysis Center (2)Jeddah
15 Bugshan General Hospital - Jeddah
16 International Renal Care Center- Jeddah
17 Saudi German Hospital- Jeddah
10 Basharahil Hospital- Makkah
MOH Hemodialysis Centers in Madina Region
N Hospital
1 Al Eass General Hospital
2 Al Mhad General Hospital
3 Badr General Hospital
4 King Fahad Hospital- Madina
5 Prince Abdul Mohsin Hospital. A1 Ulla
6 Al Hanakiya General Hospital
7 Khaiber General Hospital
8 Yanbu General Hospital
Govt. Non-MOH Hemodialysis Centers in Madina Region
N Hospital
1 Royal Commission Medical Center- Yanbu
8
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Western Region
Private Hemodialysis Centers in Madina Region
N Hospital
1 Madina National Hospital
2 Saudi German Hospital- Madina
9
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Eastern Region
MOH Hemodialysis Centers in Eastern Region
N Hospital
1 Al Jubail General Hospital
2 Dammam Medical Complex
3 King Fahad Specialist Hospital- Dammam
4 Abgaig General Hospital
5 Al Gaissoma General Hospital
6 Al Nairiyiah General Hospital
7 King Fahad Hospital- Hofuf
8 King Khalid General Hospital- Hafar al Baten*
9 Qateef Central Hospital
*Diaverum
Govt. Non-MOH Hemodialysis Centers in Eastern Region
N Hospital
1 Royal Commission Hospital- Jubail (Ex. Al Fanater)
2 Dahran Health Center (ARAMCO)
3 King Abdul Aziz Medical City, Ahsa (NG)
4 King Fahad Military Medical Complex- Dhahran
5 King Fahad University Hospital- Al Khobar
6 King Khalid Medical City- Hafar Al Batin
7 Al Khafji Joint Operation Hospital
Private Hemodialysis Centers in Eastern Region
N Hospital
1 Al Mouwasat Hospital- Dammam
2 Al Moosa General Hospital, Ahsa
3 Saad Specialist Hospital- Al Khobar
4 Al Ahsa Hospital
5 Al Mana Hospital- Dammam
6 Al Mouwasat Hospital- Qateef
10
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Northern Region
MOH Hemodialysis Centers in Al Jouf Region
N Hospital
1 Domat Al Jundal General Hospital 2 Prince A.R Sudeiry Hospital- Skaka 3 Tabarjal General Hospital
MOH Hemodialysis Centers in Hail Region
N Hospital
1 Al Shammali General Hospital 2 Al Sulaymi General Hospital 3 Hail General Hospital 4 King Khalid Hospital- Hail 5 Baqaa General Hospital 6 Samira General Hospital
MOH Hemodialysis Centers in Northern Borders Region
N Hospital
1 Al Owaigila General Hospital
2 Ar-ar Central Hospital
3 Al Qurrayat General Hospital
4 Rafah General Hospital
5 Turaif General Hospital
MOH Hemodialysis Centers in Tabuk Region
N Hospital
1 Al Hawraa Hospital Amloj
2 King Khalid Hospital- Tabuk
3 Al Bada General Hospital
4 Al Wajeh General Hospital
5 Dhuba General Hospital
6 Haql General Hospital
7 Tayma General Hospital
Govt. Non-MOH Hemodialysis Centers in Tabuk Region
N Hospital
1 King Salman Military Hospital Tabuk
11
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Southern
MOH Hemodialysis Centers in Al Baha Region
N Hospital
1 Gilwah General Hospital
2 King Fahad Hospital- Al Baha
3 Al Mandag General Hospital
4 Al Mikhwah General Hospital
5 Beljurasy General Hospital
6 Gilwah General Hospital
Private Hemodialysis Centers in Al Baha Region
N Hospital
1 Ghodran Hospital- Beljurashi
MOH Hemodialysis Centers in Assir Region.
N Hospital
1 Al Majardah General Hospital
2 Assir Kidney Center
3 Balasmar General Hospital
4 Mohayel General Hospital
5 Sabt Al Alayah General Hospital
6 Ahad Rufaidah General Hospital
7 Al Nammas General Hospital
8 Dharan Al Janoub Hospital
9 K.A.A.Daughter's Charity Center for Renal Diseases
10 Rijal Almaa General Hospital
11 Sarat Obaidah General Hospital
12 Tathleeth General Hospital
13 Besha General Hospital (Psych. H)*
14 Khamis Mushayt General Hospital*
*Diaverum
12
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Southern
Govt. Non-MOH Hemodialysis Centers in Assir Region
N Hospital
1 KFMH- Khamis Mushayt
Private Hemodialysis Centers in Assir Region
N Hospital
1 Saudi German Hospital- Abha
2 Abha Private Hospital
MOH Hemodialysis Centers in Gizan Region
N Hospital
1 King Fahad Central Hospital- Gizan
2 Sabia General Hospital
3 Fursan General Hospital
4 Samtha General Hospital
MOH Hemodialysis Centers in Najran Region
N Hospital
1 Habona General Hospital
2 King Khalid Hospital - Najran
3 Sharurah General Hospital
13
ANNUAL REPORT 2014
HD Hospitals Region Wise by Sector
Outsourcing Hemodialysis Centers
MOH Diaverum
Central Region
Riyadh
Prince Mohammad Bin Abdulaziz Hospital Hospital-Riyadh
Qassim
King Saud Hospital Unaiza
Western Region
Makka/Jeddah/Taif
Al Qunfudah General Hospital Prince Abdul Majid Dialysis Center
Eastern Region
King Khalid General Hospital- Hafar al Baten
Southern Region
Assir
Besha General Hospital (Psych. H)
Khamis Mushayt General Hospital
MOH Davita
Central Region
Qassim
Buraida Central Hospital
Western Region
Makka/Jeddah/Taif
King Abdul Aziz Hospital - Jeddah
Govt. Non-MOH Diaverum (Prince Naif Dialysis Center)
Central Region
Riyadh
Security Forces Hospital - Riyadh
14
ANNUAL REPORT 2014
Table 1: Total No. of Hemodialysis Centers in MOH* According to Region
Region No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2014
No. of Follow
up Tx. Pts
2014
Riyadh 29 17 39 90 516 511 804 1474 471
Makkah/Jeddah 13 15 33 35 363 378 449 1593 362
Madina 8 6 9 10 170 206 285 758 137
Tabuk 7 1 6 14 71 143 178 260 155
Eastern 8 19 19 30 469 229 283 1066 332
Qassim 10 5 7 15 106 133 202 406 35
Al Baha 5 1 3 8 53 78 135 231 0
Al Jouf 3 0 6 8 55 63 108 202 0
Northern Borders 5 2 4 10 70 147 154 191 42
Hail 6 1 3 13 45 100 149 294 43
Jizan 4 2 7 8 124 124 177 659 96
Najran 3 2 3 4 46 79 98 185 0
Assir 12 0 13 11 161 227 319 795 53
Total 113 71 152 256 2249 2418 3341 8114 1726
*MOH Excluding Outsourcing Dialysis Program (Diaverum and Davita)
15
ANNUAL REPORT 2014
Table 1.1: Total No. of Hemodialysis Centers in MOH* According to Region
Region Non-
Saudi Pts
New Pts.
in 2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs Pts > 75 yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts.
Died 2014
Riyadh 106 240 61 254 40 117 221 394 556 145
Makkah/Jeddah 196 346 63 437 19 60 192 546 263 221
Madina 95 195 21 113 18 35 82 166 225 79
Tabuk 26 69 13 51 6 29 35 88 86 25
Eastern 92 251 23 127 16 65 143 281 444 115
Qassim 25 73 16 51 2 35 35 182 147 38
Al Baha 7 40 7 47 0 18 32 91 53 18
Al Jouf 8 50 0 23 6 19 66 43 55 22
Northern Borders 4 26 8 21 8 9 39 40 107 29
Hail 10 102 4 46 4 36 69 60 75 43
Jizan 117 130 49 146 8 29 60 279 65 99
Najran 32 56 9 18 8 6 45 52 33 16
Assir 30 158 26 122 1 103 79 204 229 65
Total 748 1736 300 1456 136 561 1098 2426 2338 915
*MOH Excluding Outsourcing Dialysis Program (Diaverum and Davita)
16
ANNUAL REPORT 2014
Table 2: Total No. of Hemodialysis Centers in MOH* DAVITA Outsourcing Dialysis Program According to Region
Region No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2014
No. of Follow
up Tx. Pts
2014
Riyadh 0 0 0 0 0 0 0 0 0
Makkah/Jeddah/Taif 1 2 4 5 18 17 29 48 0
Eastern 0 0 0 0 0 0 0 0 0
Qassim 1 1 10 0 31 48 53 96 0
Assir 0 0 0 0 0 0 0 0 0
Total 2 3 14 5 49 65 82 144 0
Table 2.1: Total Data on Hemodialysis Patients in MOH* DAVITA Outsourcing Dialysis Program According to Region
Hospital Name
Non-
Saudi
Pts
New Pts. in
2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts.
Died 2014
Riyadh 0 0 0 0 0 0 0 0 0 0
Makkah/Jeddah/Taif 0 6 0 13 0 0 11 17 8 6
Eastern 0 0 0 0 0 0 0 0 0 0
Qassim 0 96 2 9 2 5 4 31 41 2
Assir 0 0 0 0 0 0 0 0 0 0
Total 0 102 2 22 2 5 15 48 49 8
*MOH Outsourcing Dialysis Program Davita
17
ANNUAL REPORT 2014
Table 3: Total No. of Hemodialysis Centers in MOH* DIAVERUM Outsourcing Dialysis Program According to Region
Region No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2014
No. of Follow
up Tx. Pts
2014
Riyadh 1 2 1 4 36 29 47 180 39
Makkah/Jeddah/Taif 2 4 9 36 60 138 133 350 0
Eastern 1 0 2 5 33 46 65 140 45
Qassim 1 0 1 0 19 20 32 151 1
Assir 2 2 1 2 34 68 89 247 0
Total 7 8 14 47 182 301 366 1068 85
Table 3.1: Total Data on Hemodialysis Patients in MOH DIAVERUM* Outsourcing Dialysis Program According to Region
Hospital Name
Non-
Saudi
Pts
New Pts. in
2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts.
Died 2014
Riyadh 27 17 3 20 2 10 23 23 35 2
Makkah/Jeddah/Taif 5 232 17 83 1 42 78 126 39 27
Eastern 2 37 5 13 2 6 70 24 46 37
Qassim 1 12 4 12 2 10 50 48 19 18
Assir 4 27 3 22 2 18 14 46 76 14
Total 39 325 32 150 9 86 235 267 215 98
* MOH Outsourcing Dialysis Program Diaverum
18
ANNUAL REPORT 2014
Table 4: Total of Hemodialysis Centers in GOVT. NON-MOH** All Sectors According to Region
Region No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2014
No. of Follow
up Tx. Pts
2014
Riyadh* 7 31 21 18 406 398 475 1137 3272
Makkah/Jeddah/Taif 6 19 24 4 244 337 385 817 415
Madina 1 1 1 0 17 24 24 61 13
Tabuk 1 3 1 0 68 38 55 210 183
Eastern 7 15 10 4 124 115 156 309 259
Assir 1 7 2 9 110 74 99 282 1853
Total 23 76 59 35 969 986 1194 2816 5995
Table 4.1: Total Data on Hemodialysis Patients in GOVT. NON-MOH** All Sectors According to Region
Hospital Name Non-
Saudi Pts
New Pts.
in 2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts.
Died 2014
Riyadh* 29 375 43 133 15 143 160 243 358 73
Makkah/Jeddah/Taif 49 320 26 57 22 73 110 170 244 71
Madina 5 17 3 7 0 5 0 35 23 8
Tabuk 1 64 5 17 8 18 0 27 183 49
Eastern 17 65 7 17 0 41 8 78 154 44
Assir 1 137 8 19 6 32 36 88 102 32
Total 102 978 92 250 51 312 314 641 1064 277
**Gov’t Non-MOH including Outsourcing Dialysis Program Diaverum Riyadh (Prince Naif Dialysis Center in Security forces Hospital) & King
Abdullah Hemodialysis Project)
19
ANNUAL REPORT 2014
Table 5: Total of Hemodialysis Centers in Private Sector According to Region
Region No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2014
No. of Follow
up Tx. Pts
2014
Riyadh 14 10 16 11 131 192 206 607 33
Makkah/Jeddah/Taif 17 20 25 15 179 304 337 1241 77
Madina 2 2 1 1 6 13 14 30 0
Eastern 6 9 6 3 101 131 179 330 25
Al Baha 1 0 1 0 3 8 4 6 4
Assir 2 1 2 0 4 10 9 10 1
Total 42 42 51 30 424 658 749 2224 140
Table 5.1: Total Data on Hemodialysis Patients in Private Sector According to Region
Hospital Name Non-
Saudi Pts
New Pts.
in 2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts.
Died 2014
Riyadh 364 164 12 77 6 46 72 203 193 48
Makkah/Jeddah/Taif 970 224 52 222 13 39 140 384 385 132
Madina 4 6 0 2 0 2 16 6 8 3
Eastern 33 145 3 33 0 65 7 60 241 52
Al Baha 2 2 0 6 0 1 1 1 3 0
Assir 4 5 0 2 0 0 0 4 4 0
Total 1377 546 67 342 19 153 236 658 834 235
20
ANNUAL REPORT 2014
Table 6: Total of Hemodialysis Centers in All Sectors According to Region
Region No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2014
No. of Follow
up Tx. Pts
2014
Riyadh 51 60 77 123 1089 1130 1532 3398 3815
Makkah/Jeddah 39 60 95 95 864 1174 1333 4049 854
Madina 11 9 11 11 193 243 323 849 150
Tabuk 8 4 7 14 139 181 233 470 338
Eastern 22 43 37 42 727 521 683 1845 661
Qassim 12 6 18 15 156 201 287 653 36
Al Baha 6 1 4 8 56 86 139 237 4
Al Jouf 3 0 6 8 55 63 108 202 0
Northern Borders 5 2 4 10 70 147 154 191 42
Hail 6 1 3 13 45 100 149 294 43
Jizan 4 2 7 8 124 124 177 659 96
Najran 3 2 3 4 46 79 98 185 0
Assir 17 10 18 22 309 379 516 1334 1907
Total 187 200 290 373 3873 4428 5732 14366 7946
21
ANNUAL REPORT 2014
Table 6.1: Total Data on Hemodialysis Patients in All Sectors According to Region
Hospital Name Non-
Saudi Pts
New Pts.
in 2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts.
Died 2014
Riyadh 526 796 119 484 63 316 476 863 1142 268
Makkah/Jeddah 1220 1128 158 812 55 214 531 1243 939 457
Madina 104 218 24 122 18 42 98 207 256 90
Tabuk 27 133 18 68 14 47 35 115 269 74
Eastern 144 498 38 190 18 177 228 443 885 248
Qassim 26 181 22 72 6 50 89 261 207 58
Al Baha 9 42 7 53 0 19 33 92 56 18
Al Jouf 8 50 0 23 6 19 66 43 55 22
Northern Borders 4 26 8 21 8 9 39 40 107 29
Hail 10 102 4 46 4 36 69 60 75 43
Jizan 117 130 49 146 8 29 60 279 65 99
Najran 32 56 9 18 8 6 45 52 33 16
Assir 39 327 37 165 9 153 129 342 411 111
Total 2266 3687 493 2220 217 1117 1898 4040 4500 1533
22
ANNUAL REPORT 2014
Table 7: Total of Hemodialysis Centers in MOH* All Sector According to Global Region
Region No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2014
No. of Follow
up Tx. Pts
2014
Central 42 25 58 109 708 741 1138 2307 546
Western 24 27 55 86 611 739 896 2749 499
Eastern 9 19 21 35 502 275 348 1206 377
Northern 21 4 19 45 241 453 589 947 240
Southern 26 7 27 33 418 576 818 2117 149
Total 122 82 180 308 2480 2784 3789 9326 1811
Table 7.1: Total Data on Hemodialysis Patients in MOH* All Sector According to Global Region
Hospital Name Non-
Saudi Pts
New Pts.
in 2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts. Died
2014
Central 159 438 86 346 48 177 333 678 798 205
Western 296 779 101 646 38 137 363 855 535 333
Eastern 94 288 28 140 18 71 213 305 490 152
Northern 48 247 25 141 24 93 209 231 323 119
Southern 190 411 94 355 19 174 230 672 456 212
Total 787 2163 334 1628 147 652 1348 2741 2602 1021
* Including Diaverum and Davita Outsourcing dialysis Unit
23
ANNUAL REPORT 2014
Table 8: Total of Hemodialysis Centers in GOVT. NON-MOH** All Sector According to Global Region
Region No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2014
No. of Follow
up Tx. Pts 2014
Central 7 31 21 18 406 398 475 1137 3272
Western 7 20 25 4 261 361 409 878 428
Eastern 7 15 10 4 124 115 156 309 259
Northern 1 3 1 0 68 38 55 210 183
Southern 1 7 2 9 110 74 99 282 1853
Total 23 76 59 35 969 986 1194 2816 5995
Table 8.1: Total Data on Hemodialysis Patients in GOVT. NON-MOH** All Sector According to Global Region
Hospital Name Non-
Saudi Pts
New Pts.
in 2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts.
Died 2014
Central 29 375 43 133 15 143 160 243 358 73
Western 54 337 29 64 22 78 110 205 267 79
Eastern 17 65 7 17 0 41 8 78 154 44
Northern 1 64 5 17 8 18 0 27 183 49
Southern 1 137 8 19 6 32 36 88 102 32
Total 102 978 92 250 51 312 314 641 1064 277
**Gov’t Non-MOH including Outsourcing Dialysis Program Diaverum Riyadh (Prince Naif Dialysis Center in Security forces Hospital) & King
Abdullah Hemodialysis Project)
24
ANNUAL REPORT 2014
Table 9: Total of Hemodialysis Centers in Private Sector According to Global Region
Region No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2014
No. of Follow
up Tx. Pts
2014
Central 14 10 16 11 131 192 206 607 33
Western 19 22 26 16 185 317 351 1271 77
Eastern 6 9 6 3 101 131 179 330 25
Northern 0 0 0 0 0 0 0 0 0
Southern 3 1 3 0 7 18 13 16 5
Total 42 42 51 30 424 658 749 2224 140
Table 9.1: Total Data on Hemodialysis Patients in Private Sector According to Global Region
Hospital Name Non-
Saudi Pts
New Pts.
in 2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts.
Died 2014
Central 364 164 12 77 6 46 72 203 193 48
Western 974 230 52 224 13 41 156 390 393 135
Eastern 33 145 3 33 0 65 7 60 241 52
Northern 0 0 0 0 0 0 0 0 0 0
Southern 6 7 0 8 0 1 1 5 7 0
Total 1377 546 67 342 19 153 236 658 834 235
25
ANNUAL REPORT 2014
Table 10: Total of Hemodialysis Centers in All Sectors According to Global Region
Region No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2014
No. of Follow
up Tx. Pts
2014
Central 63 66 95 138 1245 1331 1819 4051 3851
Western 50 69 106 106 1057 1417 1656 4898 1004
Eastern 22 43 37 42 727 521 683 1845 661
Northern 22 7 20 45 309 491 644 1157 423
Southern 30 15 32 42 535 668 930 2415 2007
Total 187 200 290 373 3873 4428 5732 14366 7946
Table 10.1: Total Data on Hemodialysis Patients in All Sectors According to Global Region
Hospital Name Non-
Saudi Pts
New Pts.
in 2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts. Died
2014
Central 552 977 141 556 69 366 565 1124 1349 326
Western 1324 1346 182 934 73 256 629 1450 1195 547
Eastern 144 498 38 190 18 177 228 443 885 248
Northern 49 311 30 158 32 111 209 258 506 168
Southern 197 555 102 382 25 207 267 765 565 244
Total 2266 3687 493 2220 217 1117 1898 4040 4500 1533
26
ANNUAL REPORT 2014
Table 11: Total of Hemodialysis Centers in Saudi Arabia According to Sector
Hospital Sector No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists GP's Nurses
No. of Outlet
Connections
Total No. of HD
Machines
Total HD
Pts. 2014
No. of Follow up
Tx. Pts 2014
Ministry of Health Hospitals 113 71 152 256 2249 2418 3341 8114 1726
MOH: Diaverum 7 8 14 47 182 301 366 1068 85
MOH: Davita 2 3 14 5 49 65 82 144 0
GOVT. Non-MOH Hospitals 20 69 56 23 768 630 828 2271 5987
Gov’t. Non-MOH: King
Abdullah HD Project 2 5 1 8 146 301 301 348 8
Gov’t. Non-MOH: Diaverum 1 2 2 4 55 55 65 197 0
Private Sector Hospitals 42 42 51 30 424 658 749 2224 140
Total 187 200 290 373 3873 4428 5732 14366 7946
Table 11.1: Total Data on Hemodialysis Patients in Saudi Arabia According to Sector
Hospital Name Non-Saudi
Pts
New Pts.
in 2014
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts > 75
yrs
Diabetic
Pts
Hypertensive
Pts Both
HD Pts. Died
2014
Ministry of Health Hospitals 748 1736 300 1456 136 561 1098 2426 2338 915
MOH: Diaverum 39 325 32 150 9 86 235 267 215 98
MOH: Davita 0 102 2 22 2 5 15 48 49 8
GOVT. Non-MOH Hospitals 98 624 73 217 48 260 220 532 980 262
Gov’t. Non-MOH: King Abdullah
HD Project 0 314 7 12 3 28 1 44 84 1
Gov’t. Non-MOH: Diaverum 4 40 12 21 0 24 93 65 0 14
Private Sector Hospitals 1377 546 67 342 19 153 236 658 834 235
Total 2266 3687 493 2220 217 1117 1898 4040 4500 1533
27
ANNUAL REPORT 2014
Dialysis Centers in Saudi Arabia 1971-2014
New Hemodialysis Patients in Saudi Arabia 1995-2014
1 2 6
22
37
51
63
76
91
94
97
10
3
10
3
10
6
11
0 1
24
12
4
13
0
13
6
14
4
14
7
14
9 16
0 17
1
17
3
17
5
17
6
17
7
18
2
18
2
18
4
18
7
0
20
40
60
80
100
120
140
160
180
200
19
71
19
74
19
76
19
84
19
86
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
2084
1733 1918
2042
1718
1958 2080
2389
2847 2944
2643 2846
3089 3187
3281
3687
0
500
1000
1500
2000
2500
3000
3500
4000
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
28
ANNUAL REPORT 2014
Dialysis Population Net Annual Increase 1993-2014
93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14
No. of Pts. 3357 3666 3737 4189 4665 5010 5706 6694 7004 7391 7020 7214 7837 8761 9419 10203 10928 11437 12116 12844 13160 14366
0
2000
4000
6000
8000
10000
12000
14000
16000
29
ANNUAL REPORT 2014
Hemodialysis Centers Affiliation 2014
Hemodialysis Machines 2014
Hemodialysis Patients Nationality 2014
MOH 122 (65%)
Diaverum: 7 Davita: 2
Govt't Non- MOH 23 (13%)
King Abdullah Dialysis Project: 2
Diaverum: 1
Private 42 (22%)
MOH
Gov't. Non-MOH
Private
Total: 187
MOH 3789 (66%)
Gov't Non-MOH 1194 (21%)
Private 749 (13%)
MOH
Gov't. Non-MOH
Private
Total: 5732
Saudi 12100 (84%)
Non-Saudi 2266 (16%)
Saudi
Non-Saudi
Total: 14366
30
ANNUAL REPORT 2014
Sex Distribution amongst HD Patients 2014
Age Distribution amongst HD Patients 2014; Age Group by Year
Hemodialysis Patients; Age above 75 years & below 15 years 2014
Male 8198 (57%)
Female 6168 (57%)
Male
Female
Total: 14366
30 187
915
3289 3220 3400
2208
1117
0
500
1000
1500
2000
2500
3000
3500
4000
< 10 10 - 15 16-25 26-45 46-55 56-65 66-75 >75
Total 14366
15-75 years 13032 (91%)
Above 75 years 1117 (8%)
Below 75 years 217 (1%)
15-75 years
Above 75 years
Below 15 years
Total: 14366
31
ANNUAL REPORT 2014
Blood Groups amongst HD Patients 2014
Types of Vascular Accesses of HD Patients 2014
HD Patients Treated with Erythropoietin by Health Sector2014
A 3906 (27%)
B 2396 (17%)
AB 648 (4%)
O 7416 (52%)
A
B
AB
O
Total: 14366
AVF 9609 (67%)
Jugular Cath 2783 (19%)
Others 1129 (8%)
Vascular Graft 845 (6%)
AVF
Jugular Cath.
Others
Vascular Graft
MOH Govt. Non-MOH Private Sector
Total HD Pts.: 14366 9326 2816 222400%
Treated by EPO-r: 12269 8300 2056 1913
Percentage: 85.4% 89% 73% 86%
0100020003000400050006000700080009000
10000
32
ANNUAL REPORT 2014
HD Patients HBsAg Screen Status 2014
HD Patients HCV Antibody Status 2014
HCV Positive HD Patients Region Wise 2014
Negative 13873 (97%)
Positive 493 (3%)
HBsAg Negative
HBsAg Positive
Negative 12146 (85%)
Positive 2220 (15%)
HCV Antibody Negative
HCV Antibody Positive
Central Western Eastern Southern Northern
HCV+ve: 2220 556 934 190 382 158
T Pts. On HD: 14366 4051 4898 1845 2415 1157
25% 42%
9% 17% 7%
0
1000
2000
3000
4000
5000
6000
*% from HD Pts.
33
ANNUAL REPORT 2014
Cause of Renal Failure No. %
Diabetic Nephropathy 5991 41.7%
Hypertensive Nephropathy 5100 35.5%
Unknown Etiology 1016 7%
Primary Glomerular Disease 689 5%
Obstructive Uropathy 320 2%
Hereditary Renal Disease 279 2%
Congenital Malformation 215 1.5%
Vasculitis 183 1.3%
Primary Tubulo-Interstitial Disease 161 1%
Pregnancy Related 110 1%
Others 302 2%
Total 14366 100%
Causes of End-Stage Renal Disease in HD Patients 2014
Prevalence of Diabetes Mellitus & HTN in Dialysis Pts. 2014
Waiting List for Renal Transplantation among Dialysis Pts. 2014
DM & HTN 4500 (31%)
HTN Only 4040 (28%)
Non-DM & HTN 3928 (28%)
DM Only 1898 (13%)
Total: 14366
On Active Waiting List, 2873 (20%)
On Waiting List for Work-up, 2873 (20%)
34
ANNUAL REPORT 2014
MOH
Hospitals Military
Hospitals National
Guard Security Forces
University Hospitals
King Faisal Specialist Hospitals
Private Sector
Other Hospitals
HD Centers: 187
122 7 6 1 3 2 42 4
HD Patients: 14366
9326 1184 798 197 202 281 2224 154
Machines: 5732
3789 395 431 65 104 126 749 73
Outlets: 4428
2784 303 378 55 114 71 658 65
Pts/Outlets: 3.2
3.3 3.9 2.1 3.6 1.8 3.9 3.4 2.4
Number of HD Pts., Centers & Machines in MOH & Non-MOH Hospitals 2014
HD Pts. & Machines in MOH Hospitals according to Region 2014
HD Pts. & Machines in MOH Hospital according to Region 2014
Western Central Southern Eastern Northern
Patients: 9326 2749 2307 2117 1206 947
Outlets: 2784 739 741 576 275 453
Machines: 3789 896 1138 818 348 589
Pts./Outlets: 3.3 3.7 3.1 3.6 4.4 2
0
500
1000
1500
2000
2500
3000
PrivateSector
MilitaryHospital
NationalGuard
KFSHospitals
UniversityHospitals
SecurityForces
OtherHospitals
Patients: 5040 2224 1184 798 281 202 197 154
Outlets: 1644 658 303 378 71 114 55 65
Machines: 1943 749 395 431 126 104 65 73
Pts./Outlets: 3.1 3.4 3.9 2.1 4 1.8 3 2.4
0
500
1000
1500
2000
2500
35
ANNUAL REPORT 2014
Peritoneal dialysis
In 2014, a total of 35 active peritoneal dialysis centers were recorded from MOH & Gov’t. Non-
MOH. Among these PD centers, 20 centers belong to MOH while 15 to Gov’t Non-MOH sector. With
a total of 1,416 patients, 70% of them were on Automated/Continuous Cyclic Peritoneal Dialysis
or (CCPD/APD) machines, 27% were on Continuous Ambulating Peritoneal Dialysis (CAPD) and
3% were on Intermittent Peritoneal Dialysis (IPD).
By the end of 2014, a total of 1,416 patients on peritoneal dialysis were recorded by SCOT, of
these 490 were new patients. Age Distribution of patients with ESRD showed that 90% were
adults while only 10% were children.
Hepatitis B and C infection has shown that 2.4% of the ESRD patients are found to be HBsAg
positive and 3.5% were HCV antibody positive.
36
ANNUAL REPORT 2014
Table 12: MOH Hospitals; Peritoneal Dialysis in the Kingdom of Saudi Arabia 2014
Hospital Name
Total
No. of
Pts
New Pts
2014
Type of Peritoneal Dialysis Pediatrics Adults HBsAg+ve HCV+ve
No. of
Non-
Saudi Pts
No. of
Deaths
2041 CAPD IPD CCPD/APD
King Saud Medical City 148 39 65 0 83 0 148 3 5 4 15
Children Hospital (KSMC) 10 3 0 0 10 10 0 0 0 4 0
King Salman Kidney Center, Riyadh 12 0 7 0 5 0 12 1 1 0 0
King Fahad Medical City, Riyadh 23 0 0 14 9 0 23 1 0 0 3
King Fahad Specialist Hospital, Buraidah 63 28 3 32 28 3 60 3 1 1 2
King Fahad Specialist Hospital, Dammam 29 10 0 0 29 9 20 0 1 0 4
King Fahd Hospital, Jeddah 37 12 1 0 36 3 34 1 1 0 6
King Abdul Aziz Hospital, Jeddah 26 10 18 0 8 0 26 0 1 0 2
Al Noor Specialist Hospital, Makkah 14 4 2 0 12 1 13 0 1 0 4
King Fahd Hospital, Madina 20 1 2 0 18 0 20 0 1 4 2
Dammam Medical Complex 33 18 0 0 33 0 33 1 0 0 3
King Fahd Hospital, Hofuf 36 10 0 0 36 0 36 1 5 1 1
Qateef Central Hospital 14 7 1 0 13 0 14 0 1 0 1
King Abdulaziz Specialist Hospital, Taif 27 7 1 0 26 0 27 0 2 0 2
King Khalid Hospital, Hail 15 8 0 0 15 0 15 0 3 2 0
Maternity and Children Hospital, Madina 21 9 7 0 14 21 0 1 0 3 0
K.AA. Daughters Charity Center for Renal
Diseases 40 20 13 0 27 6 34 3 2 3 6
King Fahad Hospital, Gizan 21 14 2 0 19 4 17 1 0 0 5
King Fahad Hospital, Al Baha 11 11 9 0 2 0 11 1 0 0 4
King Khaled Hospital, Najran 3 3 3 0 0 0 3 0 0 0 0
Total: 20 603 214 134 46 423 57 546 17 25 22 60
37
ANNUAL REPORT 2014
Table 12.1 GOVT. NON- MOH Hospitals; Peritoneal Dialysis in the Kingdom of Saudi Arabia 2014
Hospital Name
Total
No. of
Pts
New Pts
2014
Type of Peritoneal Dialysis Pediatrics Adults HBsAg+ve HCV+ve
No. of
Non-
Saudi Pts
No. of
Deaths
2014 CAPD IPD CCPD/APD
King Faisal Specialist Hospital, Riyadh 77 34 17 0 60 32 45 1 3 3 0
King Abdulaziz Medical City, Riyadh (KFNGH) 55 4 13 0 42 20 35 0 0 1 1
Prince Sultan Military Medical City, Riyadh 55 21 18 0 37 0 55 0 5 1 6
King Khalid University Hospital, Riyadh 61 12 15 0 46 0 61 0 1 6 3
Security Forces Hospital, Riyadh 106 28 45 0 61 0 106 4 1 2 10
Khamis Mushyat Military Hospital 88 40 78 0 10 5 83 4 4 0 8
King Salman Military Hospital, Tabuk 22 7 2 0 20 6 16 0 1 0 2
Al Hada Military Hospital, Taif 59 27 7 0 52 6 53 2 2 0 6
King Fahd Armed Forces Hospital, Jeddah 44 12 24 0 20 0 44 1 1 0 2
King Fahd University Hospital, Al Khobar 141 66 8 0 133 0 141 3 3 12 11
King Faisal Specialist Hospital, Jeddah 23 6 10 0 13 0 23 0 1 0 2
King Abdulaziz University Hospital, Jeddah 28 8 5 0 23 10 18 0 0 11 1
Dhahran Medical Center (ARAMCO) * 24 5 1 0 23 6 18 0 0 0 5
King Abulaziz Med. City and National Guard,
Al Hassa 8 2 1 0 7 2 6 1 1 0 2
King Abdulaziz Medical City, Jeddah (KFNGH) 22 4 4 0 18 2 20 1 1 0 3
Total: 15 813 276 248 0 565 89 724 17 24 36 62
38
ANNUAL REPORT 2014
Table 13: All Sector; Total Peritoneal Dialysis in the Kingdom of Saudi Arabia According to Sector- 2014
Hospital Name No. of
Hospitals
Total
No. of
Pts
New Pts
2014
Type of Peritoneal Dialysis Pediatrics Adults HBsAg+ve HCV+ve
No. of
Non-
Saudi Pts
No. of
Deaths
2014 CAPD IPD CCPD/APD
MOH Hospitals 20 603 214 134 46 423 57 546 17 25 22 60
GOVT. NON-MOH Hospitals 15 813 276 248 0 565 89 724 17 24 36 62
Total : 35 35 1416 490 382 46 988 146 1270 34 49 58 122
39
ANNUAL REPORT 2014
Total Active PD in KSA 1995-2014
PD Pts.; Treatment Modality 2014
PD Pts. Adults and Pediatrics 2014
132 133 196 196
302 335 379
442 506
595 645
772 861
965
1112 1196
1240 1327
1402 1416
0
200
400
600
800
1000
1200
1400
1600
APD/CCPD 988 (70%)
CAPD 382 (27%)
IPD 46 (3%)
Total: 1416
Pediatric 146 (10%)
Adult 1270 (90%)
Total: 1416
40
ANNUAL REPORT 2014
PD Pts. HBsAg Status 2014
PD Pts. HCV Antibody Status 2014
PD Distribution Region Wise 2014
Negative 34 (2%)
Positive 1382 (98%)
Total: 1416
Negative 1367 (97%)
Positive 49 (3%)
Total: 1416
Central: 610 Western: 321 Eastern: 285 Southern: 163 Northern: 37
MOH: 20 256 145 112 75 15
Govt. Non-MOH: 15 354 176 173 88 22
0
50
100
150
200
250
300
350
400
41
ANNUAL REPORT 2014
Renal Replacement Therapy 2014
Dialysis Population: Current & Projected 1995-2020;
Average Net Annual Increase: 594 Pts.
Average Percentage of Annual Increase: 7.7%
HD 14366 (61%)
Renal Tx. Followed Up 7946 (33%)
PD 1416 (6%)
Total: 23,728 (791 pmp)
3869 4322
4861 5206
6008
7029 7383
7833 7526
7809
8492
9533
10280
11168
12040 12633
13356
14171 14562 14790
15979
17168
18951
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
20000
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2016 2018 2020
42
ANNUAL REPORT 2014
Dialysis Centers in KSA 2014
@Dialysis Centers
#More than one (1) Dialysis Center
Renal Replacement Therapy in KSA 1995-2014
33
60
37
13
40
46
43
96
43
82
40
43
48
65
56
56
63
78
69
02
81
82
90
02
96
00
10
01
0
80
73
80
98
74
08
71
50
72
69
79
46
37
37
41
89
46
65
50
10
57
06
66
94
70
04
73
91
70
20
72
14
78
37
85
00
94
50
10
50
0
10
92
8
11
43
7
12
11
6
12
84
4
13
16
0
14
36
6
132 133
196 196
302 335
379 442 506
595
645 780
861 1010
1112 1196 1240 1327 1402
1416
0
5000
10000
15000
20000
25000
Post Renal Tx. HD PD
43
Region Population 2014 Dialysis Pts. 2014 Prevalence (pmp) Northern 1,741,586 1,194 686 Southern 4,709,220 2,578 547 Western 9,910,724 5,219 527 Central 9,758,662 4,661 478 Eastern 4,650,183 2,130 458
Total 30,770,375 15,782 513 Table14: Prevalence of Dialysis Pts. According to Region 2014
Region Population 2014 New Dialysis Pts. 2014 Incidence (pmp) Northern 1,741,586 326 187 Western 9,910,724 1,446 146 Southern 4,709,220 643 137 Eastern 4,650,183 616 132 Central 9,758,662 1146 117 Total 30,770,375 4,177 136
Table 15: Incidence of Dialysis Pts. According to Region 2014
ANNUAL REPORT 2014
44
ANNUAL REPORT 2014
Preface
The annual report 2014 of Saudi Center for
Organ Transplantation (SCOT) is based
largely on data in 2014 and cumulate data
since the start of organ donation and
transplantation program in the Kingdom of
Saudi Arabia.
The data collected from SCOT records and
follow up the reports from respective
transplant programs in the Kingdom.
The medical department at SCOT conducted
the required analysis, collated the statistics,
created figures and tables, drafted the text
and designed the documents. The data
provided in the tables and figures and each
chapter has a brief introduction highlighting
the salient aspects of data contained in
relevant sections.
Overview and highlights
It contains chapters on Deceased Donors
after Brain Death and Organ Donation
which highlights the current activities of
deceased organ donation program as well
as hospital sharing in all regions of the
Kingdom and another chapter on
transplantation activities which include
kidneys, liver, heart, pancreas, lung, corneal
transplantation as well as bone donation.
Each section of organ transplantation
activities includes data on deceased and
living transplantation in currently active
transplant centers. Also new this year is
when possible, similar data and formats are
used for each section of organ activities;
however, this is not always possible
because some data are not pertinent to all
organs.
Additionally, separate indices of tables and
figures presented were included this year
for easy access of our data and glossary of
abbreviation has been added.
The data of this annual report will also be
available on our website: www.scot.gov.sa
45
Deceased Donors after Brain Death & Organ Donation
The Kingdom of Saudi Arabia has an active deceased donation and transplantation
program under the supervision of the Saudi Center for Organ Transplantation (SCOT)
Clear policies have been laid down to facilitate diagnosis of Death by Brain Function
Criteria and the management of potential deceased donors
Religious scholars approved the concept of Death by Brain Function Criteria and Organ Donation
The critical pathway of deceased organ donation was
applied in all donors reported to Saudi Center for
Organ Transplantation (SCOT) with 570 possible, 350
potential, 279 eligible, 110 consent and 101 actual
DBD donors. Averages of 19 pmp for possible DBD
donors were reported in 2014 and 21 pmp (mean
donors) in the last 5 years.
In 2014, Characteristics of possible DBD donors
shows that majority were in age group between 21-
50 compared to the age group 11-40 over the years.
Males constitute 70% of the donors with male to
female ratio of 3:1 compared to 4:1 over the years.
Non-Traumatic cause due to CVA represents majority
of causes of death among possible DBD donors
followed by the traumatic cause due to MVA in
contrary to data over the years; where traumatic is
the major cause of death.
Potential DBD donors were fully documented
according to the Saudi National Protocol with 279
eligible DBD donors approached for organ donation;
of which, 110 (39%) were consented and 101 (92%)
were recovered.
Evaluation and management of all possible DBD
donors were continuously followed by SCOT
according to the Directory of Regulation of Organ
Donation and Transplantation in the Kingdom of
Saudi Arabia with the different ICU’s until recovery of
organs for the purpose of transplantation or
cardiopulmonary arrest.
Transportation during the process of organ recovery
were effectively used in majority of actual DBD
donors which includes air and land transport.
It is worth mentioning that there was an increase in
the consent rate per organ from DBD donors where in
100% of consents were obtained for kidneys and
liver, 97% for heart, 60% for corneas and 28% for
bones compared to the previous year.
Of the 570 possible deceased cases in the year 2014, 110 of them gave consent for organ
donation. Retrieval was carried out in 92% of the consented cases
ANNUAL REPORT 2014
46
ANNUAL REPORT 2014
Figure I.1: The Critical Pathway of Deceased Organ Donation
Transplant International©2011 European Society for Organ Transplantation 24 (2011) 373–378
47
The Critical Pathways of Deceased Organ
Donation
In 2014, the total possible DBD donors were 570,
350potential, 279 eligible, 110 consents and 101
actual donors (see figure I.2). Since 1986, the possible
DBD donors reached 10591, 6447 potential, 5454
eligible, 1817 consents and 1635 actual cases (see
figure I.3).
Figure I.2: Critical pathway of deceased organ donation in 2014
Figure I.3: Critical pathway of deceased organ donation 1986-
2014
Region Wise
In 2014, the highest numbers of possible DBD donors
were from Riyadh region resulting in 124 potential,
107 eligible, 47 consents and 45 actual DBD donors
while the Southern region was the lowest this year
with 25 possible, 2 potential and eligible DBD donors
with no consent acquired (see table I.1).
Region Possible Potential Eligible Consented Actual
Riyadh 163 124 107 47 45
Western 132 63 42 11 9
Qassim
and Hail 79 46 35 7 7
Eastern 77 41 34 13 11
Northern 25 10 2 1 1
Southern 25 2 2 0 0
Outside
Kingdom 69 64 57 31 28
Total 570 350 279 110 101
Table I.1: Critical pathway of deceased organ donation, region
wise in 2014
Possible DBD Donors
In 2014, there were 570 possible donors and since
1986, there were a total of 10591 possible donors
reported to SCOT. Over the years, there was an
increase in the number of possible DBD donors with
the peak in 2012 with 710 DBD donors and it was
same in the last 2 years (see figure I.4).
Figure I.4: Annual trend of possible DBD donors over the years
1986-2014
Possible DBD donor characteristics
In 2014, analysis of the age distribution of the
possible DBD donors shows that the majority were
mainly in the age group between 21-50 yrs.
composing 63%of the cases, with the highest number
in age group between 21-30 yrs., having 23% of the
possible DBD donors (see figure I.5). Since 1986, the
majority of possible DBD donors were mainly from
age group between 11-40 years composing 62% of
the cases (see figure I.6).
Analysis of the gender among possible DBD donors
shows that males represent 77% of the donors while
females constitute the remaining 23% with a male to
female ratio of 3:1. Since 1986, the males represent
80% of the possible DBD donors and females
represent 20% with a male to female ratio of 4:1 (See
figures I.7 & I.8).
Nationality distribution among possible DBD donors
shows that Saudis were 260 (46%) and non-Saudis
representing 310 (54%) of the donors. Since 1986,
Saudis represent 54% of the possible DBD donors and
non-Saudis 46% (see figures I.9 and I.10).
570
350
279
110 101
Possible Potential Eligible Consented
forDonation
Actual
10591
6447 5454
1817 1635
Possible Potential Eligible Consentedfor
Donation
Actual
7
24
13
6
14
8
14
6
15
4
18
7
21
0
34
8
36
7
37
4
35
5
38
5
42
7
36
4
34
8
33
7
36
0
37
2
41
0 5
26
47
4
53
3
50
3 6
15
71
0
63
1
57
0
57
0
19
86
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
ANNUAL REPORT 2014
48
ANNUAL REPORT 2014
Analysis of the causes of death among possible DBD
donors in 2014, shows that traumatic causes were
43% and non-traumatic causes were 57%. Majority of
the traumatic causes were from Motor Vehicle
Accident (MVA) 83% while non-traumatic causes
were mainly due to Cerebro-Vascular Accident (CVA)
65% (See table I.2).
Over the years, there was no significant change in the
trend of causes of death among possible DBD donors.
Since 1986, traumatic causes were 57% and non-
traumatic causes were 40% and the remaining 3%
were categorized as others. Majority of the traumatic
causes were from Motor Vehicle Accident (MVA) 82%
while non-traumatic causes were mainly due to
Cerebro-Vascular Accident (CVA) 66% (see table I.3).
Figure I.5: age distribution of possible DBD donors 2014
Figure I.6: age distribution of possible DBD donors 1986-2014
Figure I.7: Sex distribution in possible DBD donors 2014
Figure I.8: Sex distribution in possible DBD donors1986-2014
Figure I.9: Nationality distribution in possible DBD donors 2014
32
76
132
114 114
65
25 12
0 - 10 11 - 20 21 - 30 31 - 40 41 - 50 51 - 60 61 - 70 < 70
1253
1845
2675
2081
1394
825
336 182
0-10 11-20 21-30 31-40 41-50 51-60 61-70 >70
438 77%
132 23%
Male
Female
8430 80%
2161 20%
Male
Female
310 54%
260 46%
non-Saudi
Saudi
49
Figure I.10: Nationality distribution in possible DBD donors
1986-2014
Cause of Death N %
Traumatic 245 43%
Motor Vehicle Accident (MVA)
204
Fall From Height (FFH) 31
Direct Head Trauma (DHT) 10
Non-Traumatic 325 57%
Cerebro-Vascular Accident (CVA)
210
Anoxia 101
CNS tumor 14
Total 570 100%
Table I.2: Cause of death among possible DBD donors in 2014
Cause of Death N %
Traumatic 6055 57%
Motor Vehicle Accident (MVA)
4950
Fall from height (FFH)
669
Direct head trauma (DHT)
326
Gunshot 110
Non-traumatic 4190 40%
Cerebro-Vascular Accident (CVA)
2780
Anoxia 986
CNS tumor 424
Others 346 3%
Total 10951 100%
Table I.3: Cause of death among possible DBD donors in 1986-
2014
Potential DBD donors
In 2014, there were 350 potential DBD donors and
since 1986, a total of 6447 potential DBD donors were
reported to SCOT. Over the years, there was an
increase in the number of potential DBD donors with
the peak in 2011 (see figure I.9).
The 350 potential DBD donors were fully documented
according to the Saudi National Protocol for Diagnosis
of Death by Brain Function Criteria (see figure I.10 &
I.11 cumulative).
Figure I.9: Annual trend of potential DBD donors 1986-2014
Figure I.10: Documented and non-documented possible DBD
donors 2014
Figure I.11: Documented and non-documented possible DBD
donors 1986-2014
Eligible DBD Donors
In 2014, there were 279 eligible DBD donors
approached for organ donation. Since 1986, a total of
5454 eligible DBD donors were approached for organ
donation by SCOT. Over the years, there an increase
in the number of approached eligible DBD donors
with the peak in 2011 (see figure I.12). Approached
and Not approach families of DBD donors for organ
donation were also documented in 2014 and
cumulatively from 1986. (see figure I.13 & I.14)
5747 54%
4844 46%
Saudi
non-Saudi
6 21
96
93
99
81
10
5 13
9
24
7
25
9
25
6
25
1
19
7
21
1
19
8
21
8
20
8
21
9 2
61
24
5
35
8
28
8
35
9
30
0
36
9
38
5
32
4
30
4 3
50
19
86
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
350 61%
220 39%
Documented
Not Documented
6447 61%
4144 39%
Documented
Not Documented
ANNUAL REPORT 2014
50
ANNUAL REPORT 2014
Figure I.12: Annual trend of approached eligible DBD donors
1986-2014
Figure I.13: approached and not-approached eligible DBD
donors 2014
Figure I.14: approached and not-approached eligible DBD
donors 1986-2014
Of the 279 approached eligible DBD donors, 110
(39%) were consented for organ and tissue donation
and the remaining 169 (61%) donors, the family
refused organ donation (see figure I.15 & 1.16
cumulative) and the trend of consented eligible DBD
donors including consent from outside the Kingdom
of Saudi Arabia in 1986-2014 is shown in (figure I.17).
Figure I.15: Consented and non-consented approached eligible
DBD donors 2014
Figure 1.16: Consented and non-consented approached eligible
DBD donors 1986-2014
Figure I.17: Annual trend of consented eligible DBD donors
1986-2014
Actual DBD Donors
Of the 110 consented eligible DBD donors; 101 (92%)
were recovered (actual DBD donor) and 9 (8%) were
not recovered (figure I.19). Since 1986, a total of 1635
consented eligible DBD donors were recovered and
182 were not recovered (figure I.20). The annual
trend of actual DBD donors is shown in (figure I.18).
3 2
1
87
84
88
74 89
13
3
23
5
23
1
23
0
23
8
18
6
19
4
16
7 19
5
17
7
16
7
21
4
20
3
28
9
23
5
28
2
23
3
29
7
30
9
27
1
24
3 2
79
19
86
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
279 80%
71 20%
Approached
not Approached
5454 85%
993 15%
Approached
not Approached
169 61%
110 39%
Family Refusal
Consented
3637 67%
1817 33%
Family Refusal
Consented
0 1
0
31
23
42
34
43
52
88
80
54
54
50
43
33
41
31
46
46
51
91
66
10
0
73
10
1
81
73
6
5 7
9
6 10
7
3 1
5
10
13
17
20
19
18
9 14
12
20
12
31
19
86
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
Consent Inside Kingdom
Consent Outside Kingdom
51
Figure 1.18: Annual trend of actual DBD donor 1986-2014
Figure I.19: Recovered and non-recovered consented eligible
DBD donor 2014
Figure I.20: Recovered and non-recovered consented eligible
DBD donor 1986-2014
Utilized DBD donor
From the 101 actual DBD donors; 88 were utilized in
the Kingdom, 5 were utilized by Transplant Center
from Outside the Kingdom (cases from GCC countries)
and the remaining 4 were not utilized. (Details of the
not utilized actual DBD donors are listed in table I.4).
Reason N %
Unfit 2 50%
Peritonitis 1
Determined unsuitable donor 1
Donor sudden cardiac arrest 1 25%
Technical 1 25%
Administrative issue 1
Total 4 100%
Table I.4: Reasons of not utilized actual DBD donors 2014
Organ specific utilization of actual DBD donor is as
follows: Kidneys in 67 donors, liver in 69, heart in 31,
pancreas in 2 and lung in 10 donors.
Logistics
Transportation was effectively used over the years
during the process of organ recovery for the purpose
of organ transplantation. In 2014, transportation
were used in 76 (69%) of the actual DBD donor;
wherein air transport was used in 39 (39%) of the
actual DBD donor and ambulance in 37 (37%) and the
remaining 35%, no transportation was used (mainly,
the donor is in transplant center) 25 (25%) (see
figure I.21)
Figure I.21: Transportation used during organ recovery 2014
0 10
31 23
40 32 34
51
82 71
48 55 54
47
33
54
38 39
54 62
102
80
105
68
98
73 83
67
101
19
86
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
101 92%
9 8%
Recovered
Not Recovered
1635 90%
182 10%
Recovered
Not Recovered
39 38%
37 37%
25 25%
Medevac Ambulance No Transportation used
ANNUAL REPORT 2014
52
ANNUAL REPORT 2014
Hospital Sharing in Organ Donation Program
The total number of hospitals who reported possible
deceased donor (DD) cases during the year 2014 was
103 hospitals. These were divided into either large
(>20 ICU beds), Medium (10-20 ICU beds) or small
(<10 ICU beds). The top 3 hospital with the outmost
consented cases are acknowledged below with their
corresponding ICU beds.
Large hospitals (38) reported 230 cases (40.3% of the
total), of which 134 (58%) were fully documented
and 34 consents were obtained for organ donation
(32.69% of total consents).
In this group, 16 consents were obtained from King
Saud Medical Complex, Riyadh (KSMC). KSMC is also
considered to be the largest source of consented cases
in the kingdom for the last nine years. King Abdul-
Aziz Medical City (National Guard Hospital), Riyadh
came next with 9 consents followed by King Fahd
Hospital, Jeddah, Ar-Ar Central Hospital, Obeid
Specialized Hospital Hofuf, King Saud Hospital,
Unaiza, Maternity and Children Hospital Jeddah, Al
Hayat Hospital Riyadh, Dr. Ahmed Abanamy Hospital
and Riyadh Care Hospital having 1 consented case
each.
Medium sized hospitals, with 10-20 ICU beds,
contributed with 37.5% (214 cases) of the total
number of reported cases and 35 consents (32% of
total consents) were obtained for organ donation.
The most active hospitals in this group were Al Iman
Hospital-Riyadh with 10 consents, National Hospital-
Riyadh, Al Noor Specialist Hospital-Makkah and King
Faisal Hospital-Makkah having 4 consents, then
followed by King Fahd Specialist Hospital-Qassim and
Buraida Central Hospital also with both having 3
consents each. Dammam Medical Complex had 2
consented cases. Lastly, Prince Salman Hospital-
Riyadh, King Fahd Hospital-Hofuf, King Abdulaziz
specialist Hospital-Taif, Dr. Sulaiman Habib Hospital-
Riyadh and Saudi German Hospital-Riyadh each are
having 1 consented case for organ donation.
Small sized hospitals, with less than 10 ICU beds,
shared 57 possible deceased cases (10% of the total
Possible DD) and 10 consents (9%) were obtained
from them.
Among this group, Al Mowasat Hospital-Dammam
was the most active with a total of 4 cases consented
for organ donation followed by Maternity and
Children Hospital-Dammam having 2 consented cases
then followed by Jubail General Hospital, Dr. Sulaiman
Habib Hospital (Takasusi)-Riyadh, Al Jazeera
Hospital-Riyadh and King Abdul-Aziz Medical City
(National Guard Hospital) Al Hassa with 1 consented
case each.
Activities of the organ sharing program between the
Kingdom and GCC countries showed that 31
consented cases were obtained under this program;
distributed between Kuwait Hospitals (24 cases),
Qatar Hospitals (2 cases), Bahrain Hospitals (4) and
UAE Hospitals (1).
53
In 2014, there were 103 ICUs reporting possible DBD donors to the organ donation program in the Kingdom of Saudi
Arabia. Over the years, there was an increase in the number of ICUs contributing to this program see figure I.22.
Figure I.22: Annual trend of ICUs contributing in deceased donation program
Distribution of consents by region shows that 54 (49%) consents were obtained from the Central region (34 from
MOH hospitals, 9 from Govt. Non-MOH hospitals and 11 from private hospitals). The Eastern region came next with
13 (12%) consents; followed by the Western region with 11 (10%) consents then Northern region with 1 (1%)
consented cases (see table 1.5)
Region Possible
DD Consent for Organ
Donation Actual DD
Central (Riyadh, Kharj, Qassim and Hail)
242 54 52
Western (Jeddah, Makkah, Madinah & Taif)
132 11 9
Eastern (Dammam, Hofuf, Al Khobar, Dhahran, Khafji, Qateef, Jubail & Hafar Al Baten)
77 13 11
Southern (Assir, Al Baha, Gizan & Najran)
25 0 0
Northern (Tabuk, Al Jouf, Northern Borders)
25 1 1
Outside KSA (Kuwait, Qatar & Bahrain)
69 31 28
TOTAL 570 110 101
Table I.5: distribution of possible, consented and actual deceased donors according to region
The total number of 102 hospitals had reported 570 possible deceased donors (DD) during
the year 2014 with 110 consents obtained for organ donation & 101 donors utilized for
transplantation purposes
1 8
30
36
33
36
33
42
58
62
58
59
68
70
73
61
65
68
73
75
83
83
83
85
97
95
94
92
10
3
198
6
198
7
198
8
198
9
199
0
199
1
199
2
199
3
199
4
199
5
199
6
199
7
199
8
199
9
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
201
0
201
1
201
2
201
3
201
4
ANNUAL REPORT 2014
ANNUAL REPORT 2014
54
Donation after Brain Death (DBD) Donor
Possible, Potential, Eligible, Consented and Actual from Different Hospitals in Saudi Arabia 2014
Table I.6: Hospitals with ICU's Having More than 20 Beds
No. Hospital Name Possible
DD Potential
DD Eligible
DD Consented
DD Actual
DD
1 King Saud Medical City (KSMC)-Riyadh 48 38 31 16 14
2 King Abdul-Aziz Medical City & National Guard Hospital (KAMC & NGH)-Riyadh
33 25 24 9 9
3 King Fahd Hospital-Jeddah 13 5 4 1 1
4 King Abdul-Aziz University Hospital (KAUH)-Jeddah
6 4 4 0 0
5 Ar Ar Central Hospital 6 5 2 1 1
6 King Saud Hospital (KSH)-Unaiza 6 2 2 1 1
7 Dr. Sulaiman Habib Hospital Ar Rayan-Riyadh 3 1 1 0 0
8 King Faisal Specialis Hospital and Research Center (KFSH&RC)-Jeddah
1 0 0 0 0
9 Obeid Specialized Hospital-Riyadh 1 0 0 0 0
10 King Fahad Hospital (KFH)-Madinah 18 7 6 0 0
11 King Khalid Hospital (KKH)-Hail 22 5 1 0 0
12 Prince Sultan Military Medical City (PSMMC)-Riyadh
4 4 3 0 0
13 King Abdullah Medical City-Makkah 5 4 1 0 0
14 King Fahad Armed Forces Hospital (KFAFH)-Jeddah
4 2 1 0 0
15 Al Hada Military Hospital-Taif 3 1 1 0 0
16 King Fahad Medical City (KFMC)-Riyadh 3 1 1 0 0
17 Maternity and Children Hospital (MCH)-Jeddah 3 2 2 1 1
18 Assir Central Hospital 6 1 1 0 0
19 Dr. Abdulrahman Al Mishari Hospital-Riyadh 2 2 1 0 0
55
20 Obeid Specialized Hospital-Hofuf 4 2 2 1 1
21 King Abdul-Aziz Medical City & National Guard Hospital (KAMC & NGH)- Jeddah
1 0 0 0 0
22 Maternity and Children Hospital (MCH)-Madinah
3 1 1 0 0
23 Al Hayat Hospital-Riyadh 2 2 1 1 1
24 Riyadh Care Hospital-Riyadh 3 3 3 1 1
25 Al Mana Hospital-Al Khobar 2 2 2 1 0
26 Maternity and Children Hospital (MCH)-Makkah 1 1 0 0 0
27 Security Forces Hospital-Riyadh 2 2 2 0 0
28 King Khalid University Hospital (KKUH)-Riyadh 3 2 2 0 0
29 Prince Salman Miltary Hospital-Tabuk 3 0 0 0 0
30 Dr. Ahmed Abanamy Hospital-Riyadh 4 4 3 1 1
31 Hotat Bani Tamim Hospital-Riyadh 1 0 0 0 0
32 Al Hera General Hosptial-Makkah 3 2 2 0 0
33 Hail General Hospital 1 0 0 0 0
34 Prince Abdulrahman Sudeiry Hospital (PASH)-Al Jouf
5 3 0 0 0
35 Al Qurayyat General Hospital 1 0 0 0 0
36 King Fahad Military Hospital (KFMH)-Khamis Mushayt
2 0 0 0 0
37 Health Oasis Hospital-Riyadh 1 0 0 0 0
38 Prince Abdulaziz Bin Musaad Hospital-Ar Ar 1 1 0 0 0
TOTAL 230
(40.3%)*
134
104
34 (31%) **
31
(*) Percentage from total possible donors, (**) Percentage from total consented donors.
ANNUAL REPORT 2014
ANNUAL REPORT 2014
56
Table 1.7: Hospitals with ICU’s Having 10 to 20 Beds
No. Hospital Name Possible
DD Potential
DD Eligible
DD Consented
DD Actual
DD
1 Prince Salman Hospital-Riyadh 8 6 6 1 1
2 King Khalid Hospital-Al Kharj 3 1 1 0 0
3 King Fahad Specialist Hospital (KFSH)-Qassim 11 8 5 3 3
4 Al Rass General Hospital 18 15 14 0 0
5 Al Iman Hospital-Riyadh 17 15 14 10 10
6 Al Mana Hospital-Dammam 2 2 0 0 0
7 National Hospital-Riyadh 7 5 5 4 4
8 Al Noor Specialist Hospital-Makkah 23 15 7 4 4
9 King Fahad Hospital (KFH)-Hofuf 5 4 3 1 1
10 King fahad university Hospital (KFUH)-Al Khobar
10 1 1 0 0
11 Buraida Central Hospital 18 15 12 3 3
12 Dammam Medical Complex 17 10 8 2 2
13 King AbdulAziz Hospital (KAH)-Jeddah 6 3 2 0 0
14 King Fahad Hospital(KFH)-Al Baha 11 0 0 0 0
15 King Khalid Hospital (KKH)-Tabuk 5 1 0 0 0
16 King Abdul Aziz Specialist Hospital (KASH)-Taif 14 5 2 1 1
17 King Fahad Hospital (KFH)-Makkah 12 9 8 4 2
18 Dr. Sulaiman Habib Hospital-Qassim 1 0 0 0 0
19 Abu Arish General Hospital 4 1 1 0 0
20 Wadi Dawasir Military Hospital-Riyadh 2 2 2 0 0
21 Dr. Sulaiman Habib Hospital Olaya-Riyadh 1 1 1 1 1
57
(*) Percentage from total possible donors, (**) Percentage from total consented donors
22 Security Forces Hospital-Dammam 1 1 1 0 0
23 Saudi German Hospital-Riyadh 3 3 1 1 1
24 Ohud General Hospital-Madinah 1 0 0 0 0
25 King Fahad Military Medical City (KFMMC)-Dhahran
3 2 1 0 0
26 Al Mana Hospital-Al Hassa 1 0 0 0 0
27 Imam Abdulrahman National Guard Hospital-Dammam
2 2 2 0 0
28 Imam Abdulrahman Al Faisal Hospital-Riyadh 1 1 1 0 0
29 Turaef General Hospital 5 1 0 0 0
30 PASH-Al Jouf (Prince Metab Bin Abdulaziz) 2 0 0 0 0
TOTAL 214
(37.5%)*
129
98
35 (32%)
33
ANNUAL REPORT 2014
ANNUAL REPORT 2014
58
Table 1.8: Hospitals with ICU’s Having Less than 10 Beds
(*) Percentage from total possible donor (**) Percentage from total consented donors.
No. Hospital Name Possible
DD Potential
DD Eligible
DD Consented
Actual DD
1 Jubail General Hospital 6 4 4 1 1
2 Al Mowasat Hospital-Dammam 9 5 5 4 3
3 Al Thager Hospital-Jeddah 2 0 0 0 0
4 Qateef Central Hospital 6 0 0 0 0
5 King Faisal Hospital (KFH)-Taif 5 0 0 0 0
6 Kingdom Hospital-Riyadh 2 1 0 0 0
7 Khamis Mushayt General Hospital 1 0 0 0 0
8 Dr. Sulaiman Habib Hospital Takasusi-Riyadh 3 2 2 1 1
9 Maternity and Children Hospital (MCH)-Buraida
2 1 1 0 0
10 Al Jeddaani Hospital-Jeddah 2 1 1 0 0
11 Al Yamama Hospital-Riyadh 3 1 1 0 0
12 Maternity and Children Hospital MCH-Dammam
3 2 2 2 2
13 Dallah Hospital-Riyadh 2 1 0 0 0
14 Yanboo Royal Medical Center 1 0 0 0 0
15 Hafar Al Batin Central Hospital 1 0 0 0 0
16 King Fahad Hospital (KFH)-Tabuk 1 0 0 0 0
17 Rafha General Hospital 1 0 0 0 0
18 Sharourah General Hospital 1 0 0 0 0
19 Al Jazeera Hospital-Riyadh 1 1 1 1 1
20 Al Yousif Hospital-AL Khobar 1 0 0 0 0
21 King Abdul-Aziz Medical City & National Guard Hospital (KAMC & NGH)-AL Hassa
4 4 3 1 1
TOTAL 57
(10%) 23 20
10 (9%)
9
59
Table 1.9: Hospitals outside the Kingdom of Saudi Arabia
No Hospital Name Possible DD Potential DD Eligible DD Consented
DD Actual DD
1 Kuwait Hospitals 55 53 47 24 22
2 Qatar Hospitals 2 2 2 2 2
3 Bahrain Hospitals 6 5 5 4 4
4 UAE Hospitals 5 4 3 1 0
5 Oman Hospital 1 0 0 0 0
TOTAL 69 64 57 31 28
Table 1.10 Total Number of DBD Donor for All Hospitals
Hospital Name Possible DD Potential
DD Eligible
DD Consented
DD Actual
DD
Greater than 20 ICU Beds 230 134 104 34 31
10 - 20 ICU Beds 214 129 98 35 33
Less than 10 ICU Beds 57 23 20 10 9
Outside KSA 69 64 57 31 28
TOTAL 570 350 279 110 101
ANNUAL REPORT 2014
ANNUAL REPORT 2014
60
Organ Transplantation
Organ transplantation is the best existing method for
the treatment of end-stage organ failure and due to
the increasing demand for viable organs in the
Kingdom of Saudi Arabia; the deceased organ
donation program was initiated. Later on, the
mentioned program was boosted with the inception
of the National Kidney Foundation (NKF) in 1984 and
further during 1993, the organization was upgraded
and renamed to the presently known institution, the
Saudi Center for Organ Transplantation (SCOT).
In 1979, the 1st kidney transplantation was
performed in the kingdom from living donor in Prince
Sultan Military Medical City (formerly known as
RKH), and later in 1986 the 1st deceased kidney
transplantation was performed by the same
transplant center. By 2014, a total of 627 kidneys
were transplanted wherein, 496 kidneys were
transplanted from living donors and 131 kidneys
came from deceased organ donor. Since the start of
the program, a total of 6316 from living and 2694
from deceased kidneys were transplanted.
The liver transplantation program in the Kingdom
was started in 1990 and by the end of 2014, a total of
198 liver transplantations were performed, this
includes 128 livers from living and 70 livers came
from deceased donation. Since the liver
transplantation program was initiated, there had
been a total of 738 living and 790 deceased livers
transplanted in the kingdom.
In 1986, 1st heart transplantation was performed in
Prince Sultan Military Hospital-Riyadh (formerly
known as Riyadh Military Hospital) which marked the
start of the heart transplantation program in the
Kingdom. By 2014, 31 hearts had been transplanted.
Up to present, a total of 280 hearts were transplanted
in addition, 19 hearts were also procured as sources
of valves. In total, 602 hearts were recovered as
sources of valves since 1993.
The 1st Lung transplantation in the Kingdom was
performed in 1991 at King Fahd Hospital-Jeddah. In
2014, 19 lungs were recovered and transplanted from
deceased donors. Up to date 144 lungs were
transplanted to 88 recipients, which either received
single or double lung transplantation.
Pancreas transplantation was done in the kingdom in
2009 in Al Shaty Teaching Hospital in Jeddah. In 2014,
2 pancreases were transplanted inside the kingdom.
In total, 27 pancreases were transplanted since the
program was started.
Tissue Donation, which includes corneas, bones and
other musculoskeletal connective tissues were
started in the kingdom in 1983 and 2009 respectively.
In 2014, 13 corneas were recovered by KKESH, while
126 bones and 58 musculoskeletal were procured by
KFSH & Research Center-Riyadh. Since the start of
each respective program, a total of 690 corneas were
recovered inside the kingdom, while 225 bones and
96 musculoskeletal connective tissues were
recovered by respective center.
The organ sharing program between the GCC
countries and the Kingdom of Saudi Arabia was 1st
implemented in 1996. In 2014, there were a total of
44 organs and tissues recovered and transplanted
inside the kingdom. Since the cooperation was
initiated, there had been a total of 63 kidneys, 120
livers, 15 whole hearts, 22 lungs, 1 pancreas, 54
hearts as source of valves and 4 corneas shared to the
Kingdom in addition to 1 kidney shared by SCOT to
United Arab Emirates (U.A.E.).
In 2014, a total of 627 kidneys, 198 livers, 19 lungs, 31 hearts and 2 pancreases were
transplanted in addition to 126 bones, 58 musculoskeletal connective tissues and 11
corneas were recovered.
61
Kidney Transplantation
In the year 2014, 645 kidneys had been transplanted inside the kingdom of Saudi Arabia with 514 kidneys
transplanted from living and 131 were transplanted from deceased donors. (Details of the living and deceased kidney
transplantation are shown in Table II.1.1)
It is worth mentioning that a total of 9028 kidneys were transplanted inside the kingdom from 1990-2014; of these
transplantation activities, 6054 (67%) were from living related, 2694 (30%) were from deceased donors and 280
(3%) from living unrelated kidney donor. Illustration of the cumulative living and deceased kidney transplantation is
shown in (figure II.1.1)
1. DECEASED KIDNEY DONATION 2014
110 deceased donors were consented for the purpose
of organ donation and 100% of them were also
consented for kidney donation; of which 67 donors
were utilized for kidney by transplant centers inside
the Kingdom, 24 donors were utilized by kidney
transplant centers outside the kingdom (cases from
GCC countries), 17 donors were not recovered and
the remaining 2 donors, kidneys were discarded
(recovered but not transplanted). (The details of
utilized kidney donor characteristics are listed in table
II.1.2) and the details of the deceased kidney donation
are listed in (Tables II.1.3 & II.1.4 cumulative)
Characteristic N %
Age
0-10 4 6%
11-20 2 3%
21-30 11 16%
31-40 23 35%
41-50 16 23%
51-60 9 14%
61-70 2 3%
Blood Group
A 21 30%
B 16 25%
AB 4 6%
O 26 39%
Gender
Male 58 87%
Female 9 13%
Donor Type
SCD 47 70%
ECD 20 30%
Cause of Death
Anoxia 12 17%
CVA 24 36%
Head trauma 30 45%
CNS tumor 1 1%
Circumstance of Death
MVA 17 25%
Non-MVA 50 75%
Table II.1.2: Deceased kidney donor characteristics
Characteristics of utilized deceased kidney donors 2014
Kidney Donor Risk Index (KDRI)
KDRI for locally recovered deceased kidneys was
ranging between 0.73 and 2.25 with mean KDRI of
1.25; of which 22% of the cases has the KDRI <1, 54%
are between 1-1.5 and 24% had KDRI of 1.5 above.
2. DECEASED KIDNEY TRANSPLANTATION
2014
220 deceased kidneys were consented for the
purpose of kidney transplantation; with 131 kidneys
transplanted inside the kingdom (6 kidneys were
transplanted as en-bloc to 3 recipients), 46 were
transplanted by transplant centers outside the
kingdom and 8 kidneys were discarded. The total
deceased kidney transplantation this year were
performed in 9 out of the 10 currently active kidney
transplant centers all over the Kingdom (see table
II.1.5). Illustration of the cumulative deceased kidney
transplantation is shown in (figureII.1.2).
N Transplant Center Transplanted
1 King Fahd Specialist Hospital-Dammam 37
2 King Faisal Specialist Hospital & Research Center-Riyadh
29
3 King Faisal Specialist Hospital & Research Center-Jeddah
22
4 Prince Sultan Military Medical City-Riyadh
21
5 King Abdul-Aziz Medical City & National Guard-Riyadh
17
6 Al Hada Military Hospital-Taif 2
7 King Fahd Hospital-Jeddah 1
8 King Faisal Military Hospital-Khamis Mushayt
1
9 King Salman Military Hospital-Tabuk 1
10 King Fahd Armed Forces Hospital-Jeddah
0
Total 131*
Table II.1.5: Deceased kidney transplantation
Performance of deceased kidney transplantation in currently active
national kidney transplant centers in 2014 *6 kidneys transplanted as en-bloc to 3 recipients
Non-recovered deceased kidneys
220 deceased kidneys were consented for kidney
donation; out of which, 35 (16%) were not recovered
(see table II.1.6). The major causes of non-recovered
kidneys are shown in (table II.1.7).
ANNUAL REPORT 2014
ANNUAL REPORT 2014
62
Reasons of Non Recovery N %
Sudden cardiac arrest 18 51%
Infection 6 17%
Peritonitis 2
Fungal 2
TB 2
No available suitable recipient 4 11%
Hepatitis B+ & C+ 4
Diseased Kidney 4 11%
CKD 2
ESRD 2
Technical 2 6%
Administrative issue 2
Congenital Anomalies 1 3%
No left kidney found 1
Total 35 100%
Table II.1.6: Reasons of non-recovered deceased kidneys
Reasons of non-recovery of kidneys among eligible donors consented
for kidney donation in 2014 Discarded deceased kidneys
220 deceased kidneys were consented for kidney
donation; of which 8 (4%) kidneys were discarded
(see table II.1.8). Causes of discarded deceased kidneys
from 1986-2014 are listed in (table II.1.9).
Reason of Discard N %
Glumerulosclerosis 3 38%
Tuberculosis 2 25%
Pyelonephritis 1 12%
Black discoloration 1 12%
Traumatic kidney injury 1 12%
Total 8 100%
Table II.1.8: Reasons of discarded deceased kidneys
Discarded kidneys among actual deceased kidney donors 2014
Cold ischemia time (CIT)
The CIT for locally transplanted deceased kidneys
were ranging from 2 to 31 hrs. 30 minutes with mean
CIT of 12 hrs. In 52 % of cases, the deceased kidney
transplantation was practiced with CIT < 12 hrs, 41%
of which ranged from >12-24 hrs, while 7% ranged
from >24-36 hrs.
SCD & ECD kidney transplantation
131 total deceased kidneys were transplanted; with
93 (71%) kidneys were transplanted from standard
criteria donors (SCD) and the remaining 38 (29%)
kidneys transplanted from expanded criteria donors
(ECD). The criteria for ECD kidneys transplanted are
listed in (table II.1.11).
Characteristics Utilized Kidneys
Age ≥ 60 years 5
Age 50-59 years and having 2 of the following:
21
CVA
Hypertension
SCr. ≥ 133 µmol/L (1.5 mg/dl)
CVA, Hypertension and SCr. result doubled during admission and before retrieval
12
Total 38
Table II.1.11: Transplanted deceased ECD kidneys
Transplanted deceased ECD kidneys in 2014
Adult and pediatric deceased kidney
transplantation
131 deceased kidneys were transplanted inside the
kingdom, with 108 (82%) kidneys transplanted to
adults and 23 (18%) kidneys were transplanted to
pediatric recipient (see table II.1.10).
N Transplant Center Adult Pediatric Total
1 King Fahd Specialist Hospital-Dammam
29* 8 37
2 King Faisal Specialist Hospital & Research Center-Riyadh
22 7 29
3 King Faisal Specialist Hospital & Research Center-Jeddah
21 1 22
4 Prince Sultan Military Medical City-Riyadh
18 3 21
5 King Abdul-Aziz Medical City & National Guard-Riyadh
14 3 17
6 Al Hada Military Hospital-Taif 2 0 2
7 King Fahd Hospital-Jeddah 0 1 1
8 King Faisal Military Hospital-Khamis Mushayt
1 0 1
9 King Salman Military Hospital-Tabuk
1 0 1
10 King Fahd Armed Forces Hospital-Jeddah
0 0 0
Total 108 23 131*
Table II.1.10: Adult and pediatric deceased kidney
transplantation
Deceased donor–recipient matching
Matching sex was done in 46% of cases and matching
blood group for kidney transplantation between
deceased donors and recipients were done in 92% of
the cases. Age distribution between deceased kidney
donor and recipient is shown in (table II.1.12)
Donor Age
(yrs.)
Recipient Age (yrs.) Recipient/
Kidneys <5 5-15 16-29
30-50
51-65 >65
<5 3/5* 1 4/6
5-15 3 1 4
16-29 5 5 11 21
30-50 8 22 35 10 4 79
51-65 7 11/12* 2 20/21
>65 0
Total 19/21 27 55 21/22 6 128/131
Table II.1.12: Age distribution between deceased kidney donor
and recipients 2014
*enbloc deceased kidney transplantation were performed to 2
pediatric and 1 adult recipient by KFSH-Dammam
63
3. LIVING KIDNEY TRANSPLANTATION 2014
A total of 514 living kidney transplants had been
performed; with 466 (91%) kidney transplantation
from living related donors and 48 (9%) kidney
transplantation from living unrelated donor. The total
living kidney transplantation this year was performed
in 10 currently active kidney transplant centers (see
table II.1.13). Illustration of the cumulative living
kidney transplantation is shown in (figure II.1.3).
N Hospital Name Living
Related Living
Unrelated Total
1 King Faisal Specialist Hospital & Research Center-Riyadh
142 5 147
2 King Faisal Specialist Hospital-Jeddah
89 22 111
3 King Fahd Specialist Hospital-Dammam
84 3 87
4 Prince Sultan Military Medical City-Riyadh
64 8 72
5
King Abdul-Aziz Medical City & National Guard-Riyadh
32 2 34
6 King Fahd Hospital-Jeddah
13 5 18
7 Al Hada Military Hospital-Taif
13 2 15
8 King Fahd Armed Forces Hospital-Jeddah
12 0 12
9 King Faisal Military Hospital-Khamis Mushayt
11 0 11
10 Prince Salman Military Hospital-Tabuk
5 0 5
11 Saad Specialist Hospital-Al Khobar
1 1 2
Total 466 48 514
Table II.1.13: Living kidney transplantation 2014
Performance of living kidney transplantation in currently active
national kidney transplant centers in 2014
Transplant center Living
Deceased Total LR LUR
King Faisal Specialist Hospital & Research Center-Riyadh
142 5 29 176
King Faisal Specialist Hospital-Jeddah
89 22 22 133
King Fahd Specialist Hospital-Dammam
84 3 37 124
Prince Sultan Military Medical City-Riyadh
64 8 21 93
King Abdul-Aziz Medical City & National Guard-Riyadh
32 2 17 51
King Fahd Hospital-Jeddah
13 5 1 19
Al Hada Military Hospital-Taif
13 2 2 17
King Fahd Armed Forces Hospital-Jeddah
12 0 0 12
King Faisal Military Hospital-Khamis Mushayt
11 0 1 12
Prince Salman Military Hospital-Tabuk
5 0 1 6
Saad Specialist Hospital-Al Khobar
1 1 0 2
Total
466 48 131 645
Table II.1.1: Living and deceased kidney transplantation
Transplant centers performing living and deceased kidney
transplantation in 2014
Kidneys from deceased donors N %
Transplanted in KSA 131 59%
Transplanted by other transplant centers in GCC countries
46 21%
Not recovered kidneys 35 16%
Discarded kidneys 8 4%
Total 220 100%
II.1.3: Deceased kidney donation 2014
Kidneys from deceased donors N %
Transplanted in KSA 2694 94%
Discarded 163 6%
Total 2857 100%
II.1.4: Deceased kidney donation 1986-2014
Non-recovered kidneys N %
Donor sudden cardiac arrest 18 51%
Medical reason 15 43%
Technical 2 6%
Total 35 100%
Table II.1.7: Major Causes of non-recovered deceased kidneys
2014
The causes of non-recovered deceased kidneys among eligible donors
consented for kidney donation in 2014
ANNUAL REPORT 2014
ANNUAL REPORT 2014
64
Figure II.1.3: Cumulative living kidney transplantation
Details of living kidney transplantation in the Kingdom of Saudi
Arabia during 1979-2014;
Total living kidney transplantation: 6316
Cause N %
Congenital & vascular anomalies 34 21%
CKD 24 15%
Traumatic renal injury 22 13%
Necrosis 18 11%
No available suitable recipient 13 8%
Malignancy & neoplastic kidney 10 6%
Technical 9 6%
Vascular thromobosis 9 6%
TB 7 4%
Sepsis 5 3%
Sent abroad 3 2%
Fibrosis/sclerosis 3 2%
Glumerulosclerosis 3 2%
Multiple renal stones 1 0.5%
Pyelonephritis 1 0.5%
Black discoloration 1 0.5%
Total 163 100%
Table II.1.9: Causes of discarded deceased kidneys
Discarded kidneys among actual deceased donors during 1986-2014
Figure II.1.2. : Cumulative deceased kidney transplantation
Details of the deceased kidney transplantation in the Kingdom of
Saudi Arabia 1984-2014;
Total deceased kidney transplantation: 2694
Figure II.1.1: Cumulative living and deceased kidney transplantation
Details of living and deceased kidney transplantation in the Kingdom of Saudi Arabia during 1979-2014;
Total kidneys transplantation: 9010
11
1
4
21
2
0
36
3
6
30
4
9
63
7
7
77
6
3
64
1
28
1
45
1
22
1
36
1
47
1
74
1
60
1
88
1
95
2
28
2
51
2
28
2
08
2
21
2
20
26
0
22
8 27
2
34
9
43
1
50
6
46
2 5
14
0
100
200
300
400
500
600
19
79
19
81
19
83
19
85
19
87
19
89
19
91
19
93
19
95
19
97
19
99
20
01
20
03
20
05
20
07
20
09
20
11
20
13
2 4
28
59
57
74
62
65
95
15
4
13
1
83
88
84
76
59
89
57
71
88
95
15
1
12
2
16
6
11
1
15
6
12
2
11
8
96
13
1
0
20
40
60
80
100
120
140
160
180
19
84
19
85
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
11
1
4
21
2
0
36
3
6
30
4
9
63
7
7
77
6
3
64
12
8
14
5
12
2
13
6
14
7
17
4
16
0
18
8
19
5
22
8
25
1
22
8
20
8
22
1
22
0
26
0
22
8
25
2
31
3 38
5
43
2
40
6
46
6 20
3
6
46
7
4
56
4
8
2
4 0
2
8 5
9
57
7
4
62
6
5 95
1
54
1
31
8
3 88
8
4 76
5
9 8
9 57
7
1
88
9
5
15
1 12
2
16
6 11
1
15
6
12
2
11
8
96
1
31
0
100
200
300
400
500
600
700
19
79
19
80
19
81
19
82
19
83
19
84
19
85
19
86
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
Total Deceased: 2694
Total Living Unrelated: 280
Total Living Related: 6054
65
Liver Transplantation
In the year 2014, 198 livers had been transplanted inside the kingdom of Saudi Arabia; with 128 livers transplanted
from living and 70 transplanted from deceased donor. Details of the living and deceased liver transplantation 2014 are
shown in (table II.2.1).
It is worth mentioning that a total of 1596 livers were transplanted inside the kingdom from 1979 to 2014; of these
transplant activities, 790 (49%) were transplanted from deceased donors, 738 (46%) were from living related
donors and 68 (4%) were from living unrelated donor. Illustration of cumulative living and deceased liver
transplantation is shown in (figure II.2.1).
1. DECEASED LIVER DONATION 2014
110 deceased donors were consented for the purpose
of organ donation. 110 (100%) were consented for
liver donation in 2014 (see table II.2.2); out of which,
69 donors were utilized, 35 donors were not
recovered and the remaining 6 donors, livers were
discarded (recovered but not transplanted). The
details of utilized liver donor characteristics are listed
in (table II.2.3). Details of the cumulative deceased
liver donation are listed in (table II.2.4).
Characteristic N %
Age
0-10 2 3%
11-20 3 4%
21-30 13 19%
31-40 23 33%
41-50 13 19%
51-60 14 20%
61-70 1 1%
Blood Group
A 19 35%
B 24 27%
AB 2 3%
O 24 35%
Gender
Male 58 84%
Female 11 16%
Cause of Death
Anoxia 12 17%
CVA 29 42%
Head trauma 27 39%
CNS tumor 1 1%
Circumstance of Death
MVA 15 22%
Non-MVA 54 78%
Table II.2.3: Deceased liver donor characteristics
Characteristics of utilized deceased liver donors in 2014
1. DECEASED LIVER TRANSPLANTATION 2014
110 deceased livers that were consented for liver
donation, there were 70 livers transplanted inside the
kingdom with 35 not recovered and 6 discarded. The
deceased liver transplantations this year were
performed in 3 currently active liver transplant
centers in the kingdom (See table II.2.5).
It is worth mentioning that out of the 69 recovered
deceased livers, 1 was split and transplanted to 2
recipients by King Faisal Specialist Hospital & Research
Center-Riyadh.
N Hospital Name Deceased
Donors
1 King Faisal Specialist Hospital & Research Center-Riyadh
27
2 King Abdul-Aziz Medical City and National Guard-Riyadh
27
3 King Fahd Specialist Hospital-Dammam 16
Total 70
Table II.2.5: Deceased liver transplantation 2014
Performance of deceased liver transplantation in currently active
national liver transplant centers in 2014
Non-recovered deceased livers
110 deceased livers were consented for liver
donation; out of which, 35 (32%) were not recovered
(see table II.2.6). The major causes of non-recovered
deceased livers are mainly due to donor sudden
cardiac arrest, determined unsuitable liver donor and
hemodynamic instability. Major causes of non-
recovered deceased livers in 2014 are listed in (see
table II.2.7). Illustration of the cumulative major cause
non-recovered deceased liver transplantation from
1994 is shown in (table II.2.8).
Reasons of Non Recovery N %
Sudden cardiac arrest 9 25%
Determined unsuitable liver donor 7 20%
High liver enzymes 6
Low donor weight 1
Hemodynamic instability 7 20%
Biopsy findings 4 11%
No available suitable recipient 2 6%
No HCV+ compatible recipient
2
Infection 2 6%
Technical 2 6%
No medevac available 1
Administrative issue 1
Diseased Liver 1 3%
Cirrhosis 1
Macroscopic findings 1 3%
Fatty 1
Total 35 100%
Table II.2.6: Reasons of non-recovered deceased livers
Reasons of non-recovery of livers among eligible donors consented
for liver donation in 2014
ANNUAL REPORT 2014
ANNUAL REPORT 2014
66
Discarded deceased livers
110 deceased livers were consented for liver
donation; out of which, 6 (5%) were discarded (see
table II.2.9). Causes of discarded deceased livers from
1994-2014 are listed in (table II.2.9).
Reason of Discard N %
Hepatocyte necrosis & steatosis 4 66%
High liver enzymes & biopsy report
1 17%
Infection (TB) 1 17%
Total 6 100%
Table II.2.9: Reasons of discarded deceased livers
Discarded livers among actual deceased liver donors in 2014
Adult and Pediatric deceased liver
transplantation
A total of 70 deceased livers were transplanted inside
the Kingdom with 61 (87%) livers transplanted to
adult recipients and 9 (13%) livers transplanted to
pediatric recipient (see table II.2.11).
N Liver Transplant Center Adult Pediatric T
1 King Faisal Specialist Hospital & Research Center-Riyadh
23 4 27
2 King Abdul-Aziz Medical City and National Guard-Riyadh
23 4 27
3 King Fahd Specialist Hospital-Dammam
15 1 16
Total 61 9 70
Table II.2.11: Adult and pediatric deceased liver transplantation
Pediatric and adult deceased liver transplanted in currently active
national liver transplant centers in 2014
Cold ischemia time (CIT)
CIT for locally transplanted deceased livers was
ranging from 1hr. 7 minutes to 13 hrs. 33 mins., with
mean CIT at 6 hrs. 46 mins. In 34 (49%), the deceased
livers were practiced with CIT ≤ 6 hrs., 35 (50%) at
≥6-12 hrs. and the remaining 1 (1%) was done with
>12 hrs.
Deceased donor-recipient matching
Matching sex was done in 53% of the cases and
matching blood group for liver transplantation
between deceased donors and recipients was done in
89% of the cases. Age distribution between deceased
kidney donor and recipient is shown in (table II.2.12).
Donor Age (yrs.)
Recipient Age (yrs.)
Total <5
5-15
16-29
30-50
51-65
>65
<5 2* 2
5-15 2 2
16-29 1 3 1 7 12
30-50 1 6 11 20 1 39
51-65 1 5 8 1 15
>65 0
Total 2 2 10 19 35 2 70
Table II.2.12: Age distribution between deceased liver donor
and recipients 2014; *performed as split liver transplantation
1. LIVING LIVER TRANSPLANTATION 2014
A total of 128 living liver transplants were performed;
124 (97%) were from living related donors and 4
(3%) livers were from living unrelated liver donor.
The total living liver transplantations this year were
performed in 4 currently active national liver
transplant centers (see table II.2.13).
N Hospital Name Living
Related Living
Unrelated Total
1 King Faisal Specialist Hospital & Research Center-Riyadh
93 2 95
2 King Abdul-Aziz Medical City and National Guard-Riyadh
14 0 14
3 King Fahd Specialist Hospital-Dammam
13 0 13
4 Prince Sultan Military Medical City-Riyadh
4 2 6
Total 124 4 128
Table II.2.13: living liver transplantation
Performance of living liver transplantation in currently active
national liver transplant centers in 2014
Transplant center Living
Deceased Total LR LUR
King Faisal Specialist Hospital Riyadh
93 2 27 122
King Fahd Specialist Hospital Dammam
13 0 16 29
King Abdulaziz Medical City Riyadh
14 0 27 41
Prince Sultan Military Medical City Riyadh
4 2 0 6
Total 124 4 70 198
Table II.2.1: living and deceased liver transplantation
Transplant centers performing living and deceased liver
transplantation in 2014
Livers from deceased donors N %
Transplanted 70 63%
Not recovered 35 32%
Discarded 6 5%
Total 110 100%
Table II.2.2: Deceased liver donation 2014
Livers from deceased donors N %
Transplanted 790 54%
Not recovered 455 31%
Discarded 207 14%
Total 1452 100%
Table II.2.4: Livers from deceased donors 1994-2014
Not recovered deceased livers N %
Medical reason 24
Donor sudden cardiac arrest 9
Technical 2
Total 35 100%
Table II.2.7: Major causes of non-recovered deceased livers
Major causes of non-recovered deceased livers among eligible donors
consented for liver donation in 2014
67
Cause N %
Fatty Changes 90 43%
Granulomatous Changes/Fibrosis/Atherosclerosis
40 19%
Ischemia/Long CIT 21 10%
Macro/Microstasis, Steatosis 20 10%
Sepsis 11 5%
Hepatitis (B,C) Changes 6 3%
Neoplastic 6 3%
Cardiac Arrest (Donor/Recipient) 5 2%
Infectious Disease (TB, Bilharziasis, Others) 5 2%
Congenital/Vascular Abnormalities 1 .4%
Necrosis 1 .4%
Traumatic Liver Injury 1 .4%
Total 207 100%
Table II.2.10: Causes of discarded deceased livers 1994-2014
Discarded livers among actual deceased donors consented for liver
donation during 1994-2014
Not recovered deceased livers N %
Medical reason 354
Donor sudden cardiac arrest 94
Technical 7
Total 455 100%
Table II.2.8: Major causes of non-recovered deceased livers
Major causes of non-recovered deceased livers among eligible donors
consented for liver donation 1994-2014
Figure II.2.1: Cumulative living and deceased liver transplantation in KSA
Details if the living and deceased liver transplantation in the Kingdom of Saudi Arabia 1994-2014;
Total deceased and living liver transplantation 1990-2014: 1596
1 2 2 44 45
28 26 20 18 10 19 10 15 29 28
49 54 59 51 62 49 50 49
70 1 7 16
11 19 19
41 32
37 39 38 58 26 72
92 106
124
14
43 4
3
4
0
50
100
150
200
250
19
90
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
Total Deceased: 790
Total Living Related: 738
Total Living Unrelated: 68
ANNUAL REPORT 2014
ANNUAL REPORT 2014
68
Heart Transplantation
In the year 2014, 31 whole hearts had been transplanted and 19 hearts were recovered as source of valves inside the
kingdom of Saudi Arabia. It is worth mentioning that a total of 280 hearts had been transplanted from 1986-2014 in
addition, 602 hearts were recovered as sources of valves since 1993. Illustration of the cumulative deceased heart
transplantation and recovered hearts as source of valves in Saudi Arabia is shown in (figure II.3.1).
1. DECEASED HEART DONATION 2014
110 deceased donors were consented for the purpose
of organ donation with 107 (97%) were consented
for heart donation (see table II.3.1); of which, 31
donors were recovered, 19 were recovered hearts as
source of valves and 57 donors were not recovered.
The details of the utilized deceased heart donor
characteristics are listed in (table II.3.1.2). Illustration
of the cumulative deceased heart donation from 1986
is shown in (table II.3.3).
Characteristic N %
Age
11-20 1 3%
21-30 9 29%
31-40 15 48%
41-50 5 16%
51-60 1 3%
Blood Group
A 8 26%
B 8 26%
AB
O 15 48%
Gender
Male 30 97%
Female 1 3%
Cause of Death
Anoxia 5 16%
CVA 4 13%
Head trauma 22 71%
Circumstance of Death
MVA 14 45%
Non-MVA 17 55%
Table II.3.2: Deceased heart donor characteristics
Characteristics of utilized deceased heart donors in 2014
2. DECEASED HEART TRANSPLANTATION
2014
107 (97%) deceased hearts were consented for the
purpose of heart donation; with 31 (29%) hearts
transplanted by two heart transplant centers inside
the kingdom (see table II.3.4). In addition, 19 Heart for
valves were also recovered (see table II.3.5).
Transplant Center Transplanted Deceased
Hearts
King Faisal Specialist Hospital & Research Center-Riyadh
26
Prince Sultan Cardiac Center-Riyadh
5
Total 31
Table II.3.4: Deceased hearts transplantation
Performance of deceased heart transplantation in currently active
national heart transplant centers in 2014
Non-recovered hearts
107 deceased hearts were consented for heart
donation; out of which 57 (53%) were not recovered
(see table II.3.6). The major causes of non-recovered
deceased hearts are mainly due to determined
unsuitable heart donor, no available suitable recipient
and diseased heart.
Reasons of Non Recovery N %
Determined unsuitable heart donor 16 28%
Old age 11
High dose inotropic agents 2
History of post cardiac arrest
2
Multi-organ failure 1
No available suitable recipient 13 23%
No ABO identical recipient 6
Donor-recipient mismatch
o Weight disproportion
4
No HCV+ compatible recipient
3
Diseased Heart 11 19%
Low ejection fraction during echocardiography
8
History of post CABG 2
Severed hypertrophy 1
Hemodynamic instability 6 10.5%
Technical 6 10.5%
Cardiac catheterization cannot be performed
5
Recipient unavailable 1
Donor sudden cardiac arrest 3 5%
Infection 2 4%
Fungal 1
Peritonitis/puruluent discharge
1
Total 57 100%
Table II.3.6: reasons of non-recovered deceased hearts
Reasons of non-recovered deceased hearts among eligible donors
consented for heart donation in 2014
Adult and pediatric heart transplantation
31 hearts were transplanted inside the kingdom with
27 (87%) hearts utilized for adult recipients and 4
(13%) hearts for pediatric recipients (see table II.3.7).
N Liver Transplant Center Adult Pediatric T
1 King Faisal Specialist Hospital & Research Center-Riyadh
22 4 26
2 Prince Sultan Cardiac Center-Riyadh
5 0 5
Total 27 4 31
Table II.3.7: Adult and pediatric deceased heart transplantation
Adult and pediatric deceased heart transplantation in currently
active national heart transplant centers in 2014
69
Deceased donor-recipient matching
Matching sex was done in 71% of the cases and
matching blood group for heart transplantation
between deceased donors and recipients was done in
90% of the cases. Age distribution between deceased
kidney donor and recipient is shown in (table II.3.8).
Donor Age (yrs.)
Recipient Age (yrs.) Total
<5 5-15
16-29
30-50
51-65
>65
16-29 4 4 2 10
30-50 1 6 9 4 20
51-65 1 1
Total 1 10 13 7 31
Table II.3.8: Age distribution between deceased heart donor and
recipients 2014
Aortic valve
Pulmonary
valve Total
Used 5 13 18
To be used 0 0 0
Discarded 14 6 20
Total 19 19 38
Table II.3.5: Heart for valve recovery and utilization
Recovered heart as source of valves from eligible deceased hearts in
2014
Hearts from deceased donors N %
Consented 107 97%
Transplanted 31
Recovered as source of valves 19
Not recovered 57
Discarded 0
Not consented 3 3%
Total 110 100%
Table II.3.1: Deceased heart donation 2014
Hearts from deceased donors N %
Consented 1391 86%
transplanted 280
Recovered as source of valves 602
Not recovered 509
Discarded 0
Not consented 219 14%
Total 1610 100%
Table II.3.3: Deceased heart donation 1986-2014
Figure II.3.1: Cumulative deceased heart transplantation and recovered hearts as source of valves in Saudi Arabia 1986-2014
1 1 3
8 9
5 6
12 12
7 5 5 4
6 3 3 2
5 4
8
13 12
19
15
19 19 22 21
31
9
36 39
26 23
33 35
19
27
17
22
32
38
52
31 29 29
20 23 24
19 19
19
86
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
Total Whole Heart: 280 Total Hearts as Source of Valves: 602
ANNUAL REPORT 2014
ANNUAL REPORT 2014
70
Lung Transplantation
In the year 2014, 19 lungs have been transplanted from deceased donation inside the kingdom of Saudi Arabia. It is
worth mentioning that a total of 144 lungs have been transplanted from 1991-2014. Illustration of the cumulative
deceased lung transplantation is shown in (figure II.4.1).
1. DECEASED LUNG DONATION 2014
110 deceased donors were consented for deceased
organ donation. 103 (94%) were consented for lung
donation (see table II.4.1); of which, 10 donors were
utilized for lung transplantation, 92 donors were not
recovered and the remaining 1 donor, the lungs were
discarded (recovered but not transplanted). The
details of the utilized lung donor characteristics are
listed in table II.4.2.
Characteristic N %
Age
21-30 1 10%
31-40 3 30%
41-50 2 20%
51-60 4 40%
Blood Group
A 4 40%
B 2 20%
AB
O 4 40%
Gender
Male 8 80%
Female 2 20%
Cause of Death
Anoxia 3 30%
CVA 5 50%
Head trauma 2 20%
Circumstance of Death
MVA 1 10%
Non-MVA 9 90%
Table II.4.2: Deceased Lung Donor Characteristics
Characteristics utilized deceased lung donors
2. DECEASED LUNG TRANSPLANTATION
2014
206 deceased lungs that were consented for lung
donation; there were 10 lungs transplanted inside the
Kingdom wherein, 18 lungs were transplanted as
double lungs to 9 recipients and a single lung
transplanted to 1 recipient, 184 lungs were not
recovered and 3 were discarded. The deceased lung
transplantations this year was performed by King
Faisal Specialist Hospital & Research Center, Riyadh
the currently active lung transplant center in the
Kingdom (see table II.4.3).
Lung Transplant Center Deceased
Lung Transplanted
Lung Transplants
King Faisal Specialist Hospital & Research Center-Riyadh
19 10
Table II.4.3: Deceased Lung Transplantation
Performance of deceased lung transplantation in currently active
national lung transplant center in the year 2014
Non-recovered deceased lungs
206 deceased lungs were consented for lung
transplantation; out of which 184 (89%) were not
recovered (see table II.4.5). The major causes of non-
recovered deceased lungs is shown in (figure II.4.6)
Reasons of Non Recovery N %
Poor lung function 24 26%
Low PO2 during challenge test 21
Blood clots seen during bronchoscopy
1
Poor ABG result 1
Poor bronchoscopy result 1
No available suitable lung recipient 22 24%
Deceased Organ 10 11%
Abnormal cxr 2
Atelectasis 2
Lung infiltration 4
Pleural effusion 2
Technical 10 11%
Challenge test cannot be performed
1
Needed more time for evaluation
3
No blood sample available for cross-match
2
Recipient not fit for transplantation
2
Recipient unavailable 1
No surgeon 1
Hemodynamic Instability 7 8%
Infection 6 7%
Lung consolidation 5
HCV+ 1
Traumatic Lung Injury 5 5%
Lung contusion 3
Lung hemorrhage 1
Traumatic lung injury 1
Determined unsuitable lung donor 4 4%
Old age 2
Long stay in ICU 1
History of prolonged cardiac arrest
1
Donor sudden cardiac arrest 3 3%
Others 1 1%
History of severe smoking 1
Total 92 100%
Table II.4.5: Reasons of non-recovered deceased lungs
Reasons of non-recovered of lungs among eligible donors consented
for lung donation in 2014
Discarded Lungs
206 deceased lungs were consented for lung
donation; out of which, 3 (1%) were discarded (see
table II.4.7).
71
Reason of discard N %
High ventilator settings with bilateral lung contusions
2 67%
Recipient for single lung transplantation
1 33%
Total 3 100%
Table II.4.7: Reasons of discarded deceased lungs
Discarded lungs among actual deceased lung donors in 2014
Adult and pediatric lung transplantation
19 deceased lungs were transplanted inside the
kingdom and all were transplanted to 10 (100%)
adult recipients (see table II.4.8).
Lung Transplant Center Adult Pediatric
Single Double Single Double
King Faisal Specialist Hospital & Research Center-Riyadh
1 9
Table II.4.8: Adult and Pediatric Lung Transplantation
Adult and pediatric deceased lung transplanted in currently active
national lung transplant center in 2014
Deceased donor-recipient matching
Matching sex was done in 60% of the cases and
matching blood group for lung transplantation
between deceased donors and recipients was done in
80% of the cases. Age distribution between deceased
kidney donor and recipient is shown in (table II.4.9).
Donor
Age (yrs.)
Recipient Age (yrs.) Total
<5 5-15
16-29
30-50
51-65
>65
16-29 1 1
30-50 2 2 1 5
51-65 1 2 1 4
Total 4 4 2 10
Table II.4.9: Age distribution between deceased lung donor and
recipients 2014
Transplant Center Period No of
Transplant Operation
King Faisal Specialist Hospital & RC-Riyadh
1996-2014 72
King Faisal Specialist Hospital & RC-Jeddah
2001-2011 12
King Fahd Hospital-Jeddah 1991-1994 4
Total 88
Table II.4.4: deceased lung Transplantation Activity 1991-2014
Total lungs transplanted: 144
Total transplant recipient: 88
Lungs from deceased donors N %
Transplanted 10 10%
Not recovered 92 89%
Discarded 1 1%
Total 103 100%
Table II.4.1: Lungs from deceased donation 2014
Not recovered N %
Medical reason 79 86%
Technical 10 11%
Donor sudden cardiac arrest 3 3
Total 92 100%
Table II.4.6: Major causes of non-recovered lungs 2014
The reasons of non-recovery of lungs among eligible donors
consented for liver donation 2014
Figure II.4.1: Cumulative deceased lung transplantation 1991-2014
4 4 4
1
5 6
3
1
4
19 19 24
31
19
1
5
25
125Total Lungs Transplanted: 144
ANNUAL REPORT 2014
ANNUAL REPORT 2014
72
Pancreas Transplantation
In the year 2014, 2 pancreases had been transplanted inside the kingdom of Saudi Arabia with a total of 27
pancreases were transplanted inside the kingdom from 1990-2014. It is worth mentioning that the first pancreas
transplantation in the Kingdom was performed in 1990 then followed by kidney-pancreas transplantation in 1991.
Another combined operation was also done in 1992 at Al Shati Hospital in collaboration with King Abdul-Aziz
Hospital-Jeddah. Illustration of the cumulative deceased pancreas transplantation is shown in (figure II.5.1).
1. DECEASED PANCREAS DONATION 2014
110 deceased donors were consented for the purpose
of organ donation and 84 (76%) were consented for
pancreas donation for KSA; out of which, 2 donors
were utilized for pancreas transplantation, 81 donors
were not recovered and the remaining 1 donor, the
pancreas was discarded (recovered not transplanted)
(see table II.5.1). The details of utilized pancreas
donor characteristics are listed in (table II.5.2)
Characteristic N %
Age
0-10 1 50%
11-20 1 50%
Blood Group
A
B 1 50%
AB
O 1 50%
Sex
Male 2 100%
Female
Cause of Death
Head trauma 2 100%
Circumstance of Death
MVA 2 100%
Table II.5.2: Deceased pancreas donor characteristics
Characteristics of utilized deceased pancreas donors in 2014
2. DECEASED PANCREAS TRANSPLANTATION
2014
84 deceased pancreases were consented for pancreas
donation; with 2 pancreases transplanted inside the
Kingdom as Pancreas Transplant Alone (PTA), and 1
pancreas discarded. The 2 pancreas were
transplanted in 1 out of the 2 currently active
pancreas transplant centers in the Kingdom (see table
II.5.3).
N Hospital Name Transplanted
Deceased Pancreases
1 King Faisal Specialist Hospital & Research Center-Riyadh
2
Table II.5.3: deceased pancreas transplantation
Performance of deceased pancreas transplantation in currently
active national pancreas transplant center in 2014
Non-recovered deceased pancreas
84 deceased pancreases were consented for pancreas
donation; out of which 81 were not recovered (see
table II.5.4). The major causes of non-recovered
deceased pancreas are shown in (table II.5.5).
Reasons of Non Recovery N %
Determined unsuitable pancreas donor
56 69%
High pancreas enzyme 18
Old age 16
DM 13
Long stay in ICU 8
Young age 1
No available suitable recipient 8 10%
Hemodynamic instability 5 6%
Technical 5 6%
Macroscopic findings 5 6%
Donor sudden cardiac arrest 1 1%
Traumatic organ injury 1 1%
Total 81 100%
Table II.5.4: Reasons for non-recovered deceased pancreases
Reasons of non-recovered deceased pancreas among eligible donors
consented for pancreas donation but not recovered in 2014
Discarded deceased pancreas
84 pancreases were consented for pancreas donation;
of which, 1 (50%) was discarded (see table II.5.6).
Reason of Discard N %
Fatty pancreas 1 100
Table II.5.6: Reason of discarded pancreas
Discarded pancreas among actual deceased donors consented for
pancreas donation in 2014
Adult and pediatric pancreas transplantation
2 pancreases were transplanted inside the kingdom
both to adult recipients as PTA (see table II.5.7).
N Pancreas Transplant
Center Adult Pediatric T
1 King Faisal Specialist Hospital & Research Center-Riyadh
2 0 2
Table II.5.7: adult and pediatric deceased pancreas
transplantation
Adult and pediatric deceased pancreas transplantation in currently
active pancreas transplant center in 2014
73
Pancreas from deceased donors N %
Transplanted 2 2.4%
Not recovered 81 96.4%
Discarded 1 1.2%
Total 84 100%
Table II.5.1: Pancreas from deceased donors 2014
Not recovered N %
Medical reason 75 93%
Technical 5 6
Donor sudden cardiac arrest 1 1
Total 81 100%
Table II.5.5: Major causes of non-recovered deceased pancreas
2014
The reasons of non-recovery of pancreas among eligible donors
consented for pancreas donation in 2014
Figure II.5.1: Cumulative deceased pancreas transplantation
Details of the deceased pancreas transplantation in the Kingdom of Saudi Arabia 1990-2014; total deceased kidney transplantation: 27
1
2
1
2 2 2
1 1
4
2
1
6
2
0
1
2
3
4
5
6
7
1990 1991 1992 2004 2005 2006 2007 2008 2009 2010 2011 2013 2014
Total Pancreas: 27
ANNUAL REPORT 2014
ANNUAL REPORT 2014
74
Corneal Recovery
Corneal tissue donation program and transplantation was established in the kingdom since 1983. Corneas were
recovered along with multi-organ retrieval from actual DBD donors. In the year 2014, 13 corneas were recovered
inside the Kingdom of Saudi Arabia, A total sum of 692 corneas had been recovered inside the kingdom from 1983-
2014. Illustration of cumulative corneal recovery is shown in figure II.6.1. It is worth mentioning that King Khalid Eye
Specialist Hospital-Riyadh, being the most active corneal transplant center having 566 patients in their waiting list
and performing 879 corneal transplantation which were harvested abroad and transplanted, in addition to 701
corneas sent to other eye care facilities.
1. DECEASED CORNEAL DONATION 2014
110 deceased donors were consented for the purpose
of organ donation and 44 (40%) of them were
consented for corneal donation; 7 donors were
recovered and 37 were not recovered. The details of
the recovered corneal donor characteristics are listed
in (table II.6.1).
Characteristic N %
Age
21-30 1 17%
41-50 5 83%
Blood Group
A 1 17%
B 3 50%
AB
O 2 33%
Gender
Male 5 83%
Female 1 17%
Cause of Death
CVA 4 67%
Head trauma 2 33%
Circumstance of Death
MVA 1 17%
Non-MVA 5 83%
Table II.6.1: Deceased Cornea Donor Characteristics
Characteristics of utilized deceased donors from whom corneas were
recovered and transplanted
2. DECEASED CORNEAL RECOVERY 2014
88 deceased corneas were consented for the purpose
of corneal recovery; with 13 corneas recovered and
75 were not recovered. Deceased corneal recovery
was performed by 2 currently active corneal
transplant centers (see table II.6.2).
N Cornea Transplant Center Recovered
Corneas
1 King Khalid Eye Specialist Hospital-Riyadh
11
2 King Abdul-Aziz Specialist Hospital-Taif 2
Total 13
Table II.6.2: Deceased corneal recovery
Performance of deceased corneal recovery in currently active
national corneal transplant center in 2014
Non-recovered deceased corneas
88 deceased corneas were consented for corneal
donation and of which, 75 were not recovered (see
table II.6.3).
Reasons of Non Recovery N %
Technical 32 43%
Infection 30 40%
Hemodynamic instability 6 7%
Determined unsuitable cornea donor 5 7%
Donor sudden cardiac arrest 2 3%
Total 75 100%
Table II.6.3: Reasons for non recovered deceased corneas
Reasons of non-recovered deceased corneas among eligible donors
consented for corneal in 2014
Discarded corneas
88 deceased corneas were consented for corneal
donation; out of which 2 (2%) were discarded (see
table II.6.4).
Reason of Discard N %
No syphilis screen 2 100
Table II.6.4: Reason of discarded deceased corneas
Discarded corneas among actual deceased donors in 2014
Figure II.6.1: cumulative corneal recovery
Details of the deceased corneal recovery and transplantation in the Kingdom of Saudi Arabia 1983-2014
3150
350 355 380
693 840 843
731 642 741 800 931
1133 946 941
1167 1344
1005
1578 1366
945
1577
1209 962 879
9 14 13 23 62 36 49 48 53 34 26 38 16 21 19 31 44 17 32 23 24 15 16 16 13
Total Corneas Recovered Locally: 692 Total Corneas Recovered Abroad: 25508
75
Bone Banking
Bone donation program from deceased donors was started in the Kingdom by King Faisal Specialist Hospital &
Research Center in 2009. Up to date, bone recovery goes along with multi organ recovery from actual DBD donors
from central region. In the year 2014, 126 bones and 58 musculoskeletal tissues were recovered inside the Kingdom
of Saudi Arabia. It is worth mentioning that 226 bones had been recovered in addition to 90 musculoskeletal
connective tissues were recovered for the purpose of bone allograft. Illustration of the cumulative recovered
deceased bones and musculoskeletal tissues is shown in (figure II.7.1).
DECEASED BONE DONATION 2014
110 deceased donors were consented for tissue
donation, of which 31 (28%) were consented for bone
and musculoskeletal tissue donation wherein, 23
(74%) donors were recovered and the remaining 8
(26%) were not recovered. The details of the utilized
deceased bone and musculoskeletal tissue donor
characteristics are listed in table II.7.1.
Characteristic N %
Age
21-30 2 9%
31-40 6 26%
41-50 9 39%
51-60 5 22%
61-70 1 4%
Blood Group
A 6 26%
B 6 26%
AB 1 4%
O 10 5%
Gender
Male 21 91%
Female 2 9%
Cause of Death
Anoxia 2 9%
CVA 14 61%
Head trauma 7 30%
Circumstance of Death
MVA 14 45%
Non-MVA 17 55%
Table II.7.1: Deceased bone and musculoskeletal connective
tissue donor characteristics
Characteristics of utilized deceased donors from whom bones and
musculoskeletal connective tissues were recovered and recovered
Of the 31 the bone tissue donors, 126 bones and 58
musculoskeletal tissues were recovered, a total of 38
femurs, 37 tibias, 37 fibulas and 14 pelvises including
58 musculoskeletal connective tissues (see II.7.2).
Bone Bank Femur Tibia Fibula Pelvis MST
King Faisal Specialist Hospital & Research Center-Riyadh
38 37 37 14 58
Table II.7.2: Deceased bone and MSCT recovery
Performance of deceased bone and MST recovery in currently active
national bone bank in 2014
Non-recovered bones
31 deceased donors were consented for bone
donation and of which, 7 (6%) were not recovered
see (table II.7.3).
Reasons of Non Recovery N %
Donor outside Riyadh 5 71%
Donor poor general condition 1 14%
Administrative issue 1 14%
Total 7 100%
Table II.7.3: Reasons of non-recovered bones
Reasons of non-recovery of bones among eligible deceased donors
consented for bone donation in 2014
Figure II.7.1: cumulative recovered deceased bones and musculoskeletal tissues 2009-2014
13
29 21 17 20
126
3 4 8 17
58
2009 2010 2011 2012 2013 2014
Total Bones Recovered: 226
Total Musculoskeletal Connective Tissue Recovered: 90
ANNUAL REPORT 2014
ANNUAL REPORT 2014
76
Organ Sharing between the Kingdom of Saudi Arabia and GCC Countries 2014
In 2014, 45 organs and tissues were recovered from DBD donors in GCC countries and shared to the Kingdom. Of the
shared organs; 8 kidneys, 21 livers, 5 whole hearts, 4 lungs and 7 hearts as source of valves were recovered. Over the
years, there was continuous successful cooperation in organ sharing program between the GCC countries and it is
worth mentioning that this year, 45 organs and tissues were shared from Kuwait, Qatar and Bahrain which marked
the peak of organ sharing since 1996. In addition to this year’s organ sharing program, 1 kidney was shared to U.A.E.
by the Kingdom (see table II.8.1).
Year Recovered/Transplanted Organs Total
Recovered/Tx. Organs Kidney Liver Heart HFV Lung
1996-2000 6/6 19/14 4 /4 11 2/2 42/37
2001 13/12 3/3 - 1 - 17/16
2002 2/2 2/2 - 2 - 6
2004 6/6 6/5 1 /1 4 - 17/16
2005 7/7 13/10 1 /1 12 4/2 37/32
2006 6/3 12/8 - 7 - 25/18
2007 2/2 14/13 1 /1 2 - 19/18
2008 6/5 12/11 - - - 18/16
2009 2/2 5/5 - 1 - 8/8
2010 2/2 11/10 - - - 13/12
2011 4/3 5/3 1/1 - - 10/7
2012 6/3 13/10 - 7 10/10 36/30
2013 2/2 5/6** 2/2
4/4 13/14
2014 8/8 21/20 5/5 7/7 4/4 45/44
Total 72/63 141/120 15/15 54 24/22 306/274
Table II.8.1: Recovery and transplantation activities from organ sharing program between the kingdom and other countries* 1996-2014,
*Kuwait, Qatar, Bahrain and Spain, **Tx. as split liver transplantation
Year Country Transplanted Organs
Total Organs Kidney Liver Heart HFV Lung
1996-2002 Kuwait 3 19 4 14 2 42
2000-2001 Spain 17 - - - - 17
2004-2009
Kuwait 10 39 2 18 2
108 Qatar 15 12 1 8 -
Bahrain - 1 - - -
2010
Kuwait - 5 - - -
12 Qatar 2 4 - - -
Bahrain - 1 - - -
2011 Kuwait 1 2 1 - -
7 Qatar 2 1 - - -
2012 Kuwait 1 9 - 7 10
30 Qatar 2 1 - - -
2013 Kuwait 2 6 1 - 2
14 Qatar - - 1 - 2
2014
Kuwait 1 16 5 4 4
44 Qatar 4 1 - - -
Bahrain 3 3 - 3 -
Total 63 120 15 54 22 274
Table II.8.2: Transplant activities from organ sharing program between the kingdom and other countries 1996-2014
77
Figure II.8.1: Cost of organ and tissue utilized inside and outside the Kingdom in 2014 (Million SR)
The figure shows cost of transplantation for different organs (kidney, liver heart, etc.) and the amount of savings when comparing inside
and outside the Kingdom in organ transplantation
Figure II.8.2: comparison of estimated total cost of organs and tissues transplanted inside and outside the Kingdom in 2014
Estimated savings: 259.578 Million SR
Figure II.8.3: Total number of deceased organs and tissues utilized 1986-2013
Figure II.8.4: Total deceased organs and tissues transplanted in KSA 1986-2014
Total Organs (kidney, liver, heart, pancreas, lung): 3926
Total Tissues (corneas, heart for valves, bones, musculoskeletal tissues): 1609
Kidney LiverWholeHeart
Lungs PancreasHeart for
ValvesCornea Bones
No. of Organs 131 70 31 19 2 19 11 126
Cost Inside KSA 6.5 24.5 15.5 9.5 1.2 5.7 0.44 2.52
Cost Outside KSA 65.5 140 62 38 2.4 9.5 0.132 7.56
65514000
325092000
0 100000000 200000000 300000000 400000000
Total cost inside KSA
Total cost outside KSA
2694
790
280 27 144
602 690
225 90 0
500
1000
1500
2000
2500
3000
Kidney Liver WholeHeart
Pancreas Lung HFV Cornea Bones MSCT
29
62
65
85
70
74
11
1 21
1
18
3
11
7
11
9
11
0
10
1
72
11
3
71
92
12
8
13
9
21
8
18
9
24
6
18
5
25
6
21
0
21
4
20
3
25
3
9
14
13
32
98
75
75
71
86
69
45
65
33
43
51
69
96
49
61
65
76
63
65
72
21
4
19
86
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
ANNUAL REPORT 2014
ANNUAL REPORT 2014
78
Appendix I
Responsibilities of the Saudi Center for Organ
Transplantation (SCOT) 1. Setting up a national registry for end-stage organ failure patients, organ transplant recipients and organ donors
with their follow-up and outcome, and setting up the necessary procedures. 2. Receiving and following-up of brain death cases in intensive care units, coordinating the removal of organs after
getting the necessary approvals and distributing the organs to the organ transplant centers in the various health institutions in the Kingdom.
3. Coordinating with the concerned authorities to send medical teams to the various areas in the Kingdom and
abroad, to remove the organs from the person mentioned in paragraph 2 of this clause and transplant it to a patient.
4. Cooperating and coordinating with the health authorities in the field of organ transplantation, both inside the
Kingdom and abroad. 5. Preparing and updating the necessary procedures for organ transplantation from living donors in accordance
with Sharia law restrictions. 6. Preparing and updating the policies and procedures (measures, descriptions, conditions and restrictions) related
to organ transplantation in the Kingdom. 7. Monitoring and following-up on the application of organ transplantation programs, carrying out regular
appraisals of the establishments and following-up with the specialized bodies. 8. Preparing administrative and financial roles for the personnel of the center, the researchers and those
collaborating with it. 9. Holding symposia and conferences and educational and training programs, in the field of organ failure, organ
donation and transplantation, on regional and international levels and holding orientation programs. 10. Offering awareness and educational health programs, in the field of organ failure
and organ donation and transplantation in the community. 11. Publishing a scientific journal specializing in organ transplantation on the subjects of organ failure, organ
donation and transplantation. 12. Taking part in scientific research related to organ transplantation and organ failure, in the Kingdom and abroad. 13. Cooperating with charities to support organ failure patients.
79
Appendix II
Regulations for Organ Transplantation
in the Kingdom of Saudi Arabia
Regulations are essential to the process of organ donation and transplantation and therefore, the Higher National
Committee for the Development of Organ Donation and Transplantation in the Kingdom of Saudi Arabia (KSA), which
was formed according to the Ministerial resolution 14853/84 dated 30/2/1431, reviewed the regulations and passed
them as follows:
Item 1: The following terms are defined as follows:
Council: The Council for the Health Services
Center: The Saudi Center for Organ Transplantation (SCOT)
Directory: The Directory for Organ Donation and Transplantation in the KSA.
Item 2: Only authorized specialized physicians can perform organ transplantation from the living or deceased
human donors to a human recipient with intention for cure and rescue according to the
regulations included in this document.
Item 3: Any rightful person can donate or place a directive for donation of one of his body organs to rescue
or treat a patient with end-stage organ failure. A statement should be signed by the donor as a will
for donation. Nevertheless, only those who attain 18 years of age can donate to their relatives.
Item 4: Fully known medical investigations as advised by the specialist in the field should be performed
before approving the organ donation from living donors. Full discussion of the risks and possible
outcomes should be conducted with the donor before donation.
Item 5: Donors have the right to withdraw their consent for donation any time before the operation
without penalties. No donor can claim his organ after transplantation is completed.
Item 6: It is prohibited for living donors to donate vital organs, donation of which could result in the death
of the donor or complete disabling of vital functions.
Item 7: Organ donation can be from the persons only after full documentation of death by a committee of
specialized physicians and in the absence of
a directive by the donor objecting to donation during his life.
Item 8: Organ donations, as in item 7, can be performed if brain stem death is documented by the available
means of technology.
Item 9: Commercial transplantation is prohibited in any manner.
Item 10: Transplantation is performed only in centers authorized by the Ministry of Health in the GCC
Countries.
Item 11: Penalties will be levied in case of any violation of the above regulations according to system of the
medical practice, after intensive investigation by the SCOT and the concerned authorities.
ANNUAL REPORT 2014
ANNUAL REPORT 2014
80
Appendix III
Memorandum by the Minister of Health on
Deceased Organ Donation
Ref: 328025/11
Date: 17/12/1432H
13/11/2011G
Important Memo
His Excellency the Director of the National Guard Health Affairs
His Excellency the Executive Administrator of the General Organization
King Faisal Specialist Hospital and Research Center
Deputy Minister of Higher Education
His Excellency Deputy Minister for Executive Affairs
His Excellency Director General of Medical Services of the Armed Forces
Director General of Security Forces Hospital Program
Due to the importance of supporting the national program for organ donation and transplantation and the large
increase in the number of patients on waiting lists for transplantation and the resulting health and social burden on
the patients and financial burden on different health sectors , I appeal to the staff in all hospitals and especially those
in the intensive care units, emergency departments, neurology and neurosurgical departments, and all relevant
departments to cooperate with the Saudi Center for Organ Transplantation of the administration of each hospital
to fulfill the following:
1. Early Notification of cases of brain death to Saudi Center for Organ Transplantation and considering that as
the core tasks of intensive care physicians and other relevant departments.
2. Support for organ donation in the hospital and put the appropriate plan with the Saudi Center for Organ
Transplantation for optimizing cases of organ donation after death and overcome the obstacles faced by.
3. Facilitate continuous communication of medical and administrator coordinators inside the hospitals with
intensive care units and emergency departments and relevant departments with respect to the organ
donation and transplantation program.
DR. ABDULLAH BIN ABDELAZIZ AL RABEEAH
Minister of Health
Chairman of the Health Services Council
81
Appendix IV
Official Statement of the National Committee for the
Diagnosis of Death by Neurological Criteria and
Ventilator System
The members of National Committee for diagnosis of death by Neurological Criteria held a meeting in Saudi Center
for Organ Transplantation (SCOT) on Sunday 31/01/2010 (23/11/1431H) to discuss what has been published
recently in the media about the reluctance of some medical doctors on the “fatwa” on removing the ventilator
machine from brain dead case where some consider it as killing a person.
Accordingly the following steps were done by the committee:
Review of these articles and international global scientific publications emerging on the subject.
Review of the medical ethics of diagnosis of death by neurological criteria.
Review the legal opinion “Fatwa” issued within the Kingdom of Saudi Arabia (Senior Ulama Commission) or
abroad, especially the resolution of the Council of Islamic Jurisprudence on Resuscitation Apparatus.
Hence, we have decided unanimously the following:
1. The diagnosis of death by the time was, and continues to be a medical decision made by the experienced
professionals.
2. The concept of brain death based on evidence has not undergone any recent disputing developments both in
the definition or diagnosis using the Saudi protocol. Moreover, the protocol used within the Kingdom of
Saudi Arabia is one of the most demanding protocols in the world.
3. According to the diagnosis of brain death by neurological criteria using the strict scientific protocol, the
deceased person reaches the point of no return and no chance that he will regain his life.
4. It is permissible to remove the respirator from the persons diagnosed dead by the neurological criteria
according to the scientific protocol applied in all the health institutions in the Kingdom and supervised by
the committees of ethics and medical expertise.
This statement is approved by the Saudi Society of Critical Care (SCCS):
Dr. Yasser Mandourah
Consultant Intensivist, Head, Saudi Society of Critical Care
Head, Intensive Care Unit Riyadh Military Hospital
Dr. Amin M. Yousef
Consultant Intensivist, Deputy Head, Saudi Society of Critical Care
Head, Intensive Care Unit King Saud Medical Complex , Riyadh
The National Committee For The Diagnosis Of Death By Neurological Criteria
Dr. Mohammad Zuheir Alkawi
Chairman, Senior Consultant Neurologist
King Faisal Specialist Hospital & Research Center, Riyadh
Dr. Abdullah Turki
Consultant Pediatric Intensivist, Director, Pediatric Critical Care Unit
King Faisal Specialist Hospital & Research Center, Riyadh
Dr. Mohammed Al-Bar
Consultant, Islamic Medicine King Abdul Aziz University - Jeddah
Dr. Mohammad Ibrahim Almajeed
Consultant Anesthesiologist, King Khalid University Hospital – Riyadh
Dr. Nabil Biary
Consultant, Neurologist Riyadh Military Hospital
Dr. Awad Addasi
Consultant Intensivist, Riyadh Military Hospital
ANNUAL REPORT 2014
ANNUAL REPORT 2014
82
Appendix V
Purport of the Senior Ulama Commission
Decision No. 99 Dated 06-11-1402 H
The board unanimously resolved the permissibility to remove an organ, or a part thereof from a Moslem or Thimmi
living person and graft it onto him, should the need arise, should there be no risk in the removal and should the
transplantation seem likely successful.
The board also resolved, by majority the following:
The permissibility to remove an organ or part thereof from a dead person for the benefit of a Moslem,
should the need arise, should the removal cause no harm and should the transplantation seem likely
successful.
The permissibility for the living person to donate one of his organs or part thereof for the benefit of a
Moslem in need thereof.
Senior Ulama Commission.
83
Appendix VI
Resolution of the Council of Islamic Jurisprudence
on Resuscitation Apparatus
Decision No. (5) D 3/07/86
The council of Islamic Jurisprudence in its third meeting held in Amman, capital of Jordan from 8 to 13 Safar 1407 H
corresponding to 11 to 16 October 1986 and after discussing all relevant aspects of resuscitation apparatus and after
hearing the detailed explanation from specialist doctors, decide the following:
A person is pronounced legally dead and consequently, all dispositions of the Islamic law in case of death apply if one
of the two following conditions has been established:
There is total cessation of cardiac and respiratory functions, and doctors have ruled that such cessation is
irreversible.
There is total cessation of all cerebral functions and experienced specialized doctors have ruled that such cessation is
irreversible and that brain has started to undergo autolysis.
In this case, it is permissible to take the person off resuscitation apparatus, even if the function of some organs e.g.,
heart are still artificially maintained.
ANNUAL REPORT 2014
ANNUAL REPORT 2014
84
Glossary: Brain Death Irreversible cessation of cerebral and brain stem; characterized by the absence of electrical activity in the brain, blood flow to the brain, and brain function as determined by clinical assessment of responses. A brain dead person is dead, although his or her cardiopulmonary functioning may be artificially maintained for some time. Critical Pathway of Deceased Organ Donation Provides a systematic approach to the organ donation process, considering both donations after cardiac death than donation after brain death. The pathway provides a tool for assessing the potential of deceased donation and for the prospective identification and referral of possible deceased donors. Donor Someone from whom at least one organ or tissue is recovered for the purpose of transplantation. A deceased donor is a patient who has been declared brain death or cardiac death criteria. Deceased Donor or DD An individual from whom at least one solid organ is recovered or the purpose of transplantation after suffering brain death or cardiac death. Living Donor Is one who donates an organ or segment of an organ for the intent of transplantation. Possible Deceased Organ Donor A patient with a devastating brain injury or lesion or a patient with a circulatory failure and apparently medically suitable for organ donation
Potential DBD donor A person whose clinical condition is suspected to fulfill brain death criteria. Eligible DBD donor A medically suitable person who has been declared dead based on neurologic criteria as stipulated by the law of the relevant jurisdiction. Actual DBD donor
A Consented eligible donor: a. In whom an operative incision was
made with the intent of organ recovery for the purpose of transplantation.
b. From whom at least one organ was recovered for the purpose of transplantation.
Utilized DBD donor An actual donor from whom at least one organ was transplanted. Organ Donation: is the donation of biological tissue or an organ of the human body to a recipient in need of transplantation. Living Organ Donation Organ donation from living donor to living recipient Deceased Organ Donation Organ donation from deceased donor who is pronounced brain dead or circulatory death who is apparently medically suitable for organ donation Organ Recovery / Procurement The obtaining of organs for transplantation, which included methods of obtaining through programs, systems or organization. It includes also the transporting of donor organs, after surgical removal to the hospital for processing and transplant. Organ Failure Is altered organ function in an acutely ill patient requiring medical intervention to achieve homeostasis. Organ Transplant An operation moving an organ from one organism (donor) to another one (recipient) Allograft An organ or tissue that is transplanted from one person to another of the same species: i.e. human-to-human. Biopsy A tissue sample from the body, removed and examined under a microscope to diagnose fro disease, determine organ rejection, or assess donated organ or tissues. Chronic Developing slowly and lasting for a long time, possible the rest of person’s life. e.g. chronic kidney disease
85
Split Liver Transplantation The division of a donor liver into parts in order to transplant the tissue into a child or small recipient En bloc Kidney Transplantation the transplant of both kidneys into a single receiver and using the donor aorta and vena cava for vascular anastomosis. Cold Ischemia Time or CIT or in surgery The time between the chilling of a tissue, organ, or body part after its blood supply has been reduced or cut off and the time it is warmed by having its blood supply restored. This can occur while the organ is still in the body or after it is removed from the body if the organ is to be used for transplantation.
Kidney Donor Risk Index or KDRI Is an estimate of the relative risk of post-transplant kidney graft failure (in an average, adult recipient) from a particular deceased donor compared to the median (50th percentile) donor. Expanded-criteria donors or ECD Refer to older kidney donors (≥60 yr) or donors who are aged 50 to 59 yr and have two of the following three features: Hypertension, terminal serum creatinine >1.5 mg/dl, or death from cerebrovascular accident.
Standard Criteria Donor or SCD Is a donor who is under 50 years of age and suffered brain death from any number of causes. This would include donors under the age of 50 who suffer from traumatic injuries or other medical problems such as a stroke.
Abbreviations:
SCOT: Saudi Center for Organ Transplantation
NFK: National Kidney Foundation
DBD: Donation After Brain Death
DD: Deceased Donor
PMP: Per Million Population
CVA: Cerebrovascular accident
MVA: Motor Vehicle Accident
ICU: Intensive Care Unit
FFH: Fall from Height
DHT: Direct Head Trauma
CNS: Central Nervous System
GCC: Gulf Cooperation Council
MOH: Ministry of Health
Gov’t: Government
HFV: Heart for Valves
HCV: hepatits C Virus
TB: Tuberculosis
LR: Living Related
LUR: Living Unrelated
MSCT: Musculoskeletal Connective Tissue
SCD: Standard Criteria Donor
ECD: Expanded-criteria donors
KDRI: Kidney Donor Risk Index
CIT: Cold Ischemia Time
ANNUAL REPORT 2014
ANNUAL REPORT 2014
86
Index:
Tables:
I. Deceased Donors after Brain Death & Organ Donation I.1: Critical pathway of deceased organ donation, region wise in 2014 I.2: Cause of death among possible DBD donors in 2014 I.3: Cause of death among possible DBD donors in 1986-2014 I.4: Reasons of not utilized actual DBD donors 2014 I.5: distribution of possible, consented and actual deceased donors according to region I.6: Hospitals with ICU's Having More than 20 Beds I.7: Hospitals with ICU’s Having 10 to 20 Beds 1.8: Hospitals with ICU’s Having Less than 10 Beds I.9: Hospitals outside the Kingdom of Saudi Arabia I.10 Total Number of Brain Death
II. Organ Transplantation II.1: Kidney Transplantation II.1.1: Living and deceased kidney transplantation II.1.2: Deceased kidney donor characteristics II.1.3: Deceased kidney donation 2014 II.1.4: Deceased kidney donation 1986-2014 II.1.5: Deceased kidney transplantation II.1.6: Reasons of non-recovered deceased kidneys II.1.7: Major Causes of non-recovered deceased kidneys 2014 II.1.8: Reasons of discarded deceased kidneys 2014 II.1.9: Causes of discarded deceased kidneys 1986-2014 II.1.10: Adult and pediatric deceased kidney transplantation II.1.11: Transplanted deceased ECD kidneys II.1.12: Age distribution between deceased kidney donor and recipients 2014 II.1.13: Living kidney transplantation 2014
II.2: Liver Transplantation II.2.1: living and deceased liver transplantation II.2.2: Deceased liver donation 2014 II.2.3: Deceased liver donor characteristics II.2.4: Livers from deceased donors 1994-2014 II.2.5: Deceased liver transplantation 2014 II.2.6: Reasons of non-recovered deceased livers II.2.7: Major causes of non-recovered deceased livers (2014) II.2.8: Major causes of non-recovered deceased livers (1994-2014) II.2.9: Reasons of discarded deceased livers 2014 II.2.10: Causes of discarded deceased livers 1994-2014
II.2.11: Adult and pediatric deceased liver transplantation II.2.12: Age distribution between deceased liver donor and recipients 2014 II.2.13: living liver transplantation
II.3: Heart Transplantation II.3.1: Deceased heart donation 2014 II.3.2: Deceased heart donor characteristics II.3.3: Deceased heart donation 1986-2014 II.3.4: Deceased hearts transplantation II.3.5: Heart for valve recovery and utilization II.3.6: reasons of non-recovered deceased hearts II.3.7: Adult and pediatric deceased heart transplantation II.3.8: Age distribution between deceased heart donor and recipients 2014
II.4: Lung Transplantation II.4.1: Lungs from deceased donation 2014 II.4.2: Deceased Lung Donor Characteristics II.4.3: Deceased Lung Transplantation 2014 II.4.4: deceased lung Transplantation Activity 1991-2014 II.4.5: Reasons of non-recovered deceased lungs II.4.6: Major causes of non-recovered lungs 2014 II.4.7: Reasons of discarded deceased lungs II.4.8: Adult and Pediatric Lung Transplantation II.4.9: Age distribution between deceased lung donor and recipients 2014
II.5: Pancreas Transplantation II.5.1: Pancreas from deceased donors 2014 II.5.2: Deceased pancreas donor characteristics II.5.3: deceased pancreas transplantation II.5.4: Reasons for non-recovered deceased pancreases II.5.5: Major causes of non-recovered deceased pancreas II.5.6: Reason of discarded pancreas II.5.7: adult and pediatric deceased pancreas transplantation
II.6: Corneal Transplantation II.6.1: Deceased Cornea Donor Characteristics II.6.2: Deceased corneal recovery II.6.3: Reasons for non-recovered deceased corneas Table II.6.4: Reason of discarded deceased corneas
II.7: Bone Transplantation II.7.1: Deceased bone and musculoskeletal connective tissue donor characteristics II.7.2: Deceased bone and MSCT recovery II.7.3: Reasons of non-recovered bones
87
II.8: Organ Sharing between the Kingdom of Saudi Arabia and GCC Countries 2014 II.8.1: Recovery and transplantation activities from organ sharing program between the kingdom and other countries* 1996-2014, *Kuwait, Qatar, Bahrain and Spain II.8.2: Transplant activities from organ sharing program between the kingdom and other countries 1996-2014
Figures:
I. Deceased Donors after Brain Death & Organ Donation I.1: Critical Pathway of Organ Donation I.2: Critical pathway of deceased organ donation in 2014 I.3: Critical pathway of deceased organ donation 1986-2014 I.4: Annual trend of possible DBD donors over the years 1986-2014 I.5: age distribution of possible DBD donors 2014 I.6: age distribution of possible DBD donors 1986-2014 I.7: Sex distribution in possible DBD donors 2014 I.8: Sex distribution in possible DBD donors 1986-2014 I.9: Annual trend of potential DBD donors 1986-2014 I.10: Documented and non-documented possible DBD donors 2014 I.11: Documented and non-documented possible DBD donors 1986-2014 I.12: Annual trend of approached eligible DBD donors 1986-2014 I.13: approached and not-approached eligible DBD donors 2014 I.14: approached and not-approached eligible DBD donors 1986-2014 I.15: Consented and non-consented approached eligible DBD donors 2014 1.16: Consented and non-consented approached eligible DBD donors 1986-2014 I.17: Annual trend of consented eligible DBD donors 1986-2014 1.18: Annual trend of actual DBD donor 1986-2014 I.19: Recovered and non-recovered consented eligible DBD donor 2014 I.20: Recovered and non-recovered consented eligible DBD donor 1986-2014 I.21: Transportation used during organ recovery 2014 I.22: Annual trend of ICUs contributing in deceased donation program
II. Organ Transplantation
II.1: Kidney Transplantation II.1.1: Cumulative living and deceased kidney II.1.2: Cumulative deceased kidney transplantation II.1.3: cumulative living kidney transplantation
II.2: Liver Transplantation II.2.1: Cumulative living and deceased liver transplantation in KSA
II.3: Heart Transplantation II.3.1: Cumulative deceased heart transplantation and recovered hearts as source of valves in Saudi Arabia 1986-2014
II.4: Lung Transplantation II.4.1: Cumulative deceased lung transplantation 1991-2014
II.5: Pancreas Transplantation II.5.1: Cumulative deceased pancreas transplantation II.6: Corneal Transplantation II.6.1: cumulative corneal recovery
II.7: Bone Transplantation II.7.1: cumulative recovered deceased bones and
II.8: Organ Sharing between the Kingdom of Saudi Arabia and GCC Countries 2014 II.8.1: Cost of organ and tissue utilized inside and outside the Kingdom in 2014 (Million SR) II.8.2: comparison of estimated total cost of organs and tissues transplanted inside and outside the Kingdom in 2014 II.8.3: Total number of deceased organs and tissues utilized 1986-2013 II.8.4: Total deceased organs and tissues transplanted in KSA 1986-2014
ANNUAL REPORT 2014