Knowledge of the Brain Death Concept by Personnel in Spanish and Latin-American Healthcare Centers

Rı́os, Antonio; López-Navas, A.; Ayala-García, Marco Antonio; Sebastián, María José Quiles; Abdo-Cuza, Anselmo; Alán, Jeannina; Martı́nez-Alarcón, L.; Ramírez, Ector Jaime; Muñoz, Gerardo; Palacios, Gerardo; Suárez-López, Juliette; Castellanos, Roberto; González, Beatríz; Martı́nez, Miguel Ángel; Díaz, Ernesto; Nieto, Ana; Ramı́rez, Pablo; Parrilla, Pascual

doi:10.5301/ijao.5000305

Cited by 31 publications

(17 citation statements)

References 19 publications

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“…5,7 Within the group of health-care professionals, there is a certain lack of knowledge of the subject. 8 What is more, important differences have been reported not only in health-care centers but also according to the type of service. Therefore, even in transplant and donation-related units, not all the professionals accept the concept of BD.…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, marked differences have been seen in medical personnel where 80% to 85% state that they know the concept, while in the other job categories, the percentage of workers who know it is lower. 2,8 Among medical students, only 67% of cases understand the concept of BD, while 28% have doubts about its meaning or consider that the BD diagnosis does not mean that a person has died. This finding coincides with the lack of knowledge of this concept reported among Spanish medical workers.…”

Section: Discussionmentioning

confidence: 99%

“…This finding coincides with the lack of knowledge of this concept reported among Spanish medical workers. 2,8 In students, it is notable how their knowledge evolves over their university degree. It can be seen that 51% of students in the first year know that this means a person's death, a percentage that is lower than that reported in the public.…”

Section: Discussionmentioning

confidence: 99%

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Do Spanish Medical Students Understand the Concept of Brain Death?

Rı́os¹,

López-Navas

López-López

et al. 2018

Prog Transpl

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Do Spanish Medical Students Understand the Concept of Brain Death?

Rı́os¹,

López-Navas

López-López

et al. 2018

Prog Transpl

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“…Despite the fact that this uneasiness is generally attributed to the lack of knowledge about the method 8 , philosophical and biological doubts persist and should not be underestimated as they can, even if intuitively, be the answer for this discomfort. In this review, we discuss the concept of death, especially the brain death, the biological and epistemological inconsistencies of this classification, in addition to the "necessity" of this diagnosis as a way to provide organs for donation and transplantation purposes.…”

Section: Brain Death: a Finished Discussion?mentioning

confidence: 99%

Morte encefálica: uma discussão encerrada?

Filho

Junges

2015

Rev. Bioét.

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This article is a narrative review of the main authors who establish objections to the use of the concept of brain death as a synonym for death. It focuses on their biological and philosophical inconsistencies of the concept and proposes the discussion of the topic using the epistemological concepts of Popper and Kuhn. The article adopts the concepts of biopower and biopolitics as tools in the analysis of brain death, especially in relation to the inevitable intersection with organ donation and transplants. Keywords: Brain death. Bioethics. Transplantation. ResumoMorte encefálica: uma discussão encerrada? O presente artigo faz revisão narrativa dos principais autores que estabelecem objeções à utilização do conceito de morte encefálica como sinônimo de morte, com foco em suas inconsistências biológicas e filosóficas. Propõe a discussão do tema recorrendo aos conceitos epistemológicos de Popper e Kuhn. Utiliza os conceitos de biopoder e biopolítica como ferramentas de análise da morte encefálica, especialmente no que concerne a sua inevitável intersecção com a doação e transplantes de órgãos. Palavras-chave: Morte encefálica. Bioética. Transplante. Resumen Muerte cerebral: ¿una discusión cerrada?Este artículo es una revisión narrativa de los principales autores que establecen excepciones a la utilización del concepto de muerte cerebral como sinónimo de muerte, centrándose en sus inconsistencias biológicas y filosóficas. Se propone la discusión del tema usando los conceptos epistemológicos de Popper y Kuhn. Utiliza los conceptos de biopoder y de biopolítica como herramientas en el análisis de la muerte cerebral, especialmente en relación con la intersección inevitable con los trasplantes de donación de órganos. Palavras-clave: Muerte encefálica. Bioética. Transplante.

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“…20 The few that have been published have analyzed attitudes toward donation but not the subject of brain death. In these studies, attitudes in favor of donation range between 50% and 80%.…”

Section: Antonio Ríos Et Al/experimental and Clinical Transplantationmentioning

confidence: 99%

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Rı́os¹,

López-Navas²,

Martı́nez-Alarcón³

et al. 2018

Exp Clin Transplant

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Objectives: The knowledge of brain death is fundamental for being able to understand the organ donation process and for ensuring its acceptance or rejection. Here, we analyzed the level of knowledge of the concept of brain death among Latin-American individuals who are residents of Spain to determine the factors affecting this knowledge. Materials and Methods: Our patient group was a sample of 1314 Latin-American residents of Spain, obtained randomly and stratified according to the respondent's nationality, age, and sex. Their attitude was assessed using a validated questionnaire. The survey was self-administered and completed anonymously. Results: The questionnaire completion rate was 94% (n = 1237). Of total respondents, 25% (n = 313) knew the concept of brain death, which they considered to be an individual's death, 56% (n = 697) did not know the term, and 19% (n = 227) believed that it did not mean death. The variables related to knowledge of the brain death concept included (1) country of origin, with a better knowledge among those with Mexican nationality (P < .001); (2) male sex (30% vs 23%; P = .003); (3) having university-level education (35% vs 23%; P = .044); (4) having discussed the matter within the family (29% vs 23%; P = .044); (5) having a partner with a favorable attitude toward donation (39% vs 21%; P = .001); and (6) the respondent's religion (47% vs 7%; P < .001). The following factors persisted in the multivariate analysis: country of origin (odds ratio of 2.972), sex (odds ratio of 1.416), education level (odds ratio of 2.228), attitude of the respondent's partner (odds ratio of 1.835), and religion (odds ratio of 4.490). Conclusions: Knowledge of the concept of brain death is limited among Latin-American residents of Spain, with marked differences among country of origin and other socio-personal factors.

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Knowledge of the Brain Death Concept by Personnel in Spanish and Latin-American Healthcare Centers

Abstract: The understanding of BD by personnel from healthcare centers was not as good as expected. There were marked differences depending on job category.

Cited by 31 publications

References 19 publications

Do Spanish Medical Students Understand the Concept of Brain Death?

Do Spanish Medical Students Understand the Concept of Brain Death?

Morte encefálica: uma discussão encerrada?

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