Factors Associated with a Family’s Delay of Decision for Organ Donation After Brain Death

Han, Sang Youb; Kim, Jae Il; Lee, Eun Woo; Jang, Hye Yeon; Han, Kum Hyun; Oh, Se Won; Roh, Young Nam

doi:10.12659/aot.901616

Cited by 10 publications

(12 citation statements)

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“…In our study, 52.3% of patients diagnosed with brain death were female gender; studies conducted in our country reported that the majority of those diagnosed with brain death are male sex 7,8,9,10 . Aghighi et al 11 reported from Iran that the rate of brain death in males was 2.1 times that of females and Han et al 12 in a study conducted in South Korea; women were more diagnosed with brain death (65%).…”

Section: Discussionmentioning

confidence: 95%

“…Uludağ et al 9 reported that 59 patients were diagnosed with brain death between 2008 and 2014 in Adıyaman University Training and Research Hospital, and five patients (8.7%) were donors. Han et al 12 examined 107 cases with brain death and found that the organ donation rate was 58% (n: 62). Karan et al 15 ; In a retrospective study of patients diagnosed with brain death at Uludağ University Hospital between January 2015 and December 2017, families of 20 patients (41.7%) from 48 cases diagnosed with brain death responded favorably to organ donation.…”

Section: Discussionmentioning

confidence: 99%

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Retrospective analysis of the patients with brain death diagnosis in the last 5 years in our hospital

Avcı

Gündoğdu²

2019

Cumhuriyet Medical Journal

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This study aims to investigate the organ donation rate, the causes of brain death and the blood gas parameters before and after apnea test by assessing the records of the patients with brain death diagnosis in the last five years in our hospital. Method: The records of 44 patients who were diagnosed as brain death between 01.01.2014-15.05.2019 at Cumhuriyet University Research and Application Hospital were retrospectively reviewed. Blood gas parameters before and after apnea test, demographic characteristics, educational status, duration of diagnosing brain death, distribution of the patients according to their services, organ donation rate, the causes of brain death were evaluated. Results: When the patients diagnosed with brain death in Cumhuriyet University Hospital between January 2014 and May 2019, 44 patients were found. Of these patients, 23 were female (52.3%) and 21 were male (47.7%). When the patients who were diagnosed with brain death were examined; 26 patients (59.1%) were found to be in the neurosurgery intensive care unit and 13 patients (29.5%) in anesthesia intensive care unit. When the causes leading to brain death are examined; The most common cause was subarachnoid hemorrhage (SAH) in 18 patients (40.9%). Of the 44 patients diagnosed with brain death, 9 (20.5%) were donors, and 35 (79.5%) were not donors. Conclusions: This retrospective evaluation of 44 patients diagnosed with brain death within five years in intensive care units of our hospital revealed that organ donation rates were below the national average. We think that not delaying in donor determination, not to be lack of donor care, training of health workers in brain death and organ donation will increase the awareness on organ donation and organ donation rates will increase in our hospital.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of the patients with brain death diagnosis in the last 5 years in our hospital

Avcı

Gündoğdu²

2019

Cumhuriyet Medical Journal

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“…'nın (12) yaptığı çalışmada da beyin ölümü tanısı koyulan hastalarda benzer olarak erkek oranı fazla iken, Güney Kore'de Han ve ark. 'nın (13) çalışmasında ise, kadınlarda beyin ölümü tanı oranının daha yüksek olduğu (%65) bildirilmiştir.…”

Section: İstatistiksel Analizunclassified

Retrospective Analysis of Brain Death Cases

Kuşçu¹,

Aktay²

2021

Jarss

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Objective: Organ transplantation is important for patients with end-stage organ failure to survive. For this reason, detection of brain death cases and adequate number of donations are necessary. Methods: 31 cases diagnosed with brain death between 01.01.2018-01.01.2020 were evaluated retrospectively. Demographic characteristics, diagnoses causing brain death, time to detect brain death, additional tests applied for the diagnosis of brain death, time to diagnosis of brain death and cardiopulmonary arrest or donation, the proportion of families accepting organ donation, the proportion of donors, organ removed from donors the number and blood types of the cases were recorded Results: The number of cases diagnosed with brain death was 31, and the mean age of the cases was 46,71 (1-89) years. 71% (n=22) of the patients were admitted to the intensive care unit from the emergency department. The most common reason for admission to the intensive care unit 67.7% (n=21) was intracranial bleeding. While the family donation rate was 19% (n=5), three cases who accepted the donation could be donors. The mean age of the patients for whom organ donation was accepted was 35.80±11 years, while the mean age of the patients for whom organ donation was not accepted was 57.43±21.30 years (p=0.04). Conclusion: Due to the increasing number of end-stage organ failure patients awaiting transplantation, it is necessary to increase the number of cadaveric donors. Timely and sufficient detection of brain death cases, increasing the family donation rate and increasing the number of cadaveric donors will be contributed.

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“…This time delay, though justifiable, can be associated with the refusal to donate or failure of a successful donation. In one study, researchers reported that a delay in decision making does not reflect a negative attitude about organ donation, but a reasonable and necessary amount of time for deliberation [24]. Therefore, the medical attendant and OPO coordinator should continue their efforts to maintain organ viability and consider extended repetitive counseling to encourage donation.…”

Section: Financial Incentives Do Not Influence the Decisionmentioning

confidence: 99%

Organ Donation

Roh¹

2018

Organ Donation and Transplantation - Current Status and Future Challenges

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Organ transplantation is the only way of giving the gift of life to the patients with organ failure; however, the inadequate supply of organs, especially from deceased donors, has created a wide gap between organ supply and organ demand. Many organs from deceased donors are still not being used worldwide because of lack of information, education, and social system. Effective systems such as opt-out, donation after circulatory death, and donor action programs are needed to promote deceased donations. Counseling on organ donations must be an essential step of families of brain-dead patients. Standard practice should include that physicians call an Organ Procurement Organization coordinator before meeting with the families of potential donors. Tight screening for potential organ donor in intensive care unit, decoupling, and professional counseling are key components. The authorities have to consider the establishment of an opt-out system, and social systemic efforts are needed.

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Factors Associated with a Family’s Delay of Decision for Organ Donation After Brain Death

Cited by 10 publications

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Retrospective analysis of the patients with brain death diagnosis in the last 5 years in our hospital

Retrospective analysis of the patients with brain death diagnosis in the last 5 years in our hospital

Retrospective Analysis of Brain Death Cases

Organ Donation

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