The Effect of Potential Donor Visits on the Brain Death Diagnosis

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Abstract

Objective

It is aimed to investigate the effect of daily intensive care visits to diagnosis brain death in Adnan Menderes University (ADU) Practice and Research Hospital performed for the last two years.

Method

The study was retrospectively carried out between 2010‐2017 after approval of the ethics by examining the brain death records of the organ transplant coordinator in the ADU Practise Research Hospital and intensive care visit forms of the last two years. There are ninety-eight intensive care beds in our hospital. The physician who followed the patient informed the organ transplant coordinator in our hospital when brain death was suspected; For the last two years, daily intensive care visits have been made for the detection of brain death and daily forms have been filled out by looking coma status evaluations. Patients are evaluated in terms of brain death criteria in the visits made. Patients with a low Glaskow coma score should be followed up on daily visits for early diagnosis and protection of organs. This study investigated how effective the daily visits are in the early diagnosis of brain death.

Findings

A total of eight patients in our hospital have been diagnosed with brain death since 2010. The family of six of those with brain death allowed for organ donation. Six of those with brain death donated their organs (Table 1). A total of forty-eight patients were enrolled in follow-up with the intensive care visits for the last two years. Eight of these patients underwent apnea test and transcranial doppler and three of these patients were diagnosed with brain death.

Conclusion

Despite the daily availability of intensive care visits, there has been no increase in diagnosing of brain deaths and the number of donors. There is no significant difference according to the statistical evaluation in the numbers of brain deaths by years (Spearman correlation coefficient) (r=−0.386; p=0.345). In addition, there was no significant difference between the groups with and without potential donor visits (p=0.659).

Conclusion

It is important intra-hospital communication and early diagnosis for increasing the low rates transfers from cadaver, which is low in our country. We think that the daily intensive care visits that we continue in our hospital will be effective in the long term although we cannot see the results in the short term.

References

1. Dosemeci L, Yilmaz M, Cengiz M, et al. Brain death and donor management in the intensive care unit: experiences over the last 3 years. Transplant Proc 2004;36:20-1.

References

2. Sadegh Beigee F, Mohsenzadeh M, Shahryari S, Mojtabaee M. Role of More Active Identification of Brain-Dead Cases in Increasing Organ Donation. Exp Clin Transplant. 2017;15(Suppl 1):60–62.

References

3. Maciel CB, Hwang DY, Greer DM. Organ donation protocols. Handb Clin Neurol. 2017;140:409–439.

References

4. Foss S, Sanner M, Mathisen JR, Eide H. Doctors' attitudes to organ donation. Tidsskr Nor Laegeforen. 2014;134(11):1142–6.

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