Retrospective analysis of patiens with brain death

Year 2019, Volume: 5 Issue: 5, 847 - 852, 04.09.2019

Şermin Eminoğlu , Şeyda Efsun Özgünay

https://doi.org/10.18621/eurj.533569

Cited By: 1

Abstract

Objectives:
We
aimed to retrospectively analyze brain death cases in the our intensive care
units.

Methods: We examined archive records of brain
death cases diagnosed between January 01, 2014 and October 01, 2018. We
recorded patients’ demographics (age, gender, place of birth, blood type and
diagnosis on admission), time to the preparation of the report, additional
tests performed, rate of organ donation, donor rate, and number of organs
removed.

Results: A total of 151 brain death cases were
detected. Of these, 69 were female. The average age was 53.96 ± 19.52years. A
Rh + was the most common type (39.7%) in blood type analysis. Intracranial
hemorrhage was the primary reason (54.3%) for admission. Apnea test was
performed for 88 patients. Radiological imaging was used in 129 (85.4%) cases;
computed tomography angiography being the most commonly performed method with
79 (52.3%) cases. Forty four patients’ families consented to organ donation.
Considering the place of birth for donors, Marmara Region was the leader with
18 (40.9%) donors. Of the 82 brain death cases diagnosed with intracranial
hemorrhage, 35 (42.68%) donated organs and this rate was significantly high (p = 0.002). The mean follow-up period
for brain death was 1.49 days.

Conclusions: Health team is responsible for
identifying brain death and shoud be conscious about it, attempting to increase
organ donation. They should act rapidly and avoid wasting time after the
diagnosis. Family interviews to be conducted by an experienced and trained
organ donation coordinator may increase donations by emphasizing the importance
of organ donations. Giving wide media coverage to organ donation may increase
awareness of the community of organ donation.

Keywords

Brain death, intensive care, donor

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