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Sarıtaş, Aykut; Çinleti, Burcu Acar; Zincircioğlu, Çiler; Uzun, Uğur; Köse, Işıl; Şenoğlu, Nimet

doi:10.6002/ect.2017.0293

Cited by 5 publications

(3 citation statements)

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“…The health care professionals also felt that the BD diagnosis protocols provided by the Turkish Ministry of Health were unhelpful and in need of improvement if they were to contribute to improvements in organ donation rates. 17 The lack of official guidance on BD diagnosis may have contributed to the below-average organ donation rates in the present study. While the number of BD diagnoses was stable over time for some cities in our study, for others, it was not; for example, there was an apparent and unexplained decrease in the number of BD diagnoses made in the years 2013 and 2015 in Kayseri.…”

Section: Discussionmentioning

confidence: 76%

“…While organ donation coordinators, who have a key role in improving donation rates, are assigned by the Ministry of Health in Turkey, Sarıtaş et al reported that most health care professionals thought that doctors should take the role of organ donation coordinators. 17 Kayseri, a metropolitan city with over one million, had a high cadaveric organ donation rate in 2014, but no donations in 2012, 2013, or 2015 (►Fig. 3) were observed.…”

Section: Discussionmentioning

confidence: 99%

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Retrospective Analysis of 1998 Patients Diagnosed with Brain Death between 2011 and 2019 in Turkey

Sipahioğlu

Elay

Bingol

et al. 2022

J Neuroanaesth Crit Care

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Background Organ transplantation reduces mortality and morbidity in patients with end-stage organ failure. The number of living organ donations is not enough to meet the current organ transplantation need; therefore, there is an urgent need for organ donation from cadavers. We aimed to determine the organ donation rates and reveal the obstacles against donation. Methods This study is designed as a retrospective multicenter study consisting of eight university hospitals, three training and research hospitals, 26 state hospitals, and 74 private hospitals in nine provinces in Turkey. A total of 1,998 patients diagnosed with brain death between January 2011 to April 2019 were examined through the electronic medical records data system. Results Median patient age was 38 (IQR: 19–57), and 1,275 (63.8%) patients were male. The median time between the intensive care unit admission and brain death diagnosis was 56 (IQR:2–131) hours. The most commonly used confirmatory diagnostic test was computed tomography in 216 (30.8%) patients, and the most common cause of brain death was intraparenchymal hemorrhage with 617 (30.9%) patients. A total of 1,646 (82.4%) families refused to permit organ donation. The most common reasons for refusal were family disagreement (68%), social/relative pressure (24%), and religious beliefs (8%). Conclusions Many families refuse permission for organ donation; some of the provinces included in this study experienced years of exceptionally high refusal rates.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of 1998 Patients Diagnosed with Brain Death between 2011 and 2019 in Turkey

Sipahioğlu

Elay

Bingol

et al. 2022

J Neuroanaesth Crit Care

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“…BD is also related to organ and tissue donation, a procedure that is a significant advancement in the treatment of diseases of renal, hepatic, cardiac, and pulmonary origin. However, globally, a difficulty faced with regard to transplants is the much greater demand than the supply of organs [5] and the underreporting of BD cases, from which most solid organs for transplantation originate [6].…”

Section: Introductionmentioning

confidence: 99%

The Role of S100b Protein Biomarker in Brain Death: A Literature Review

Lopes,

Regner,

Simon

2024

Cureus

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Apnea Testing for the Determination of Brain Death: A Systematic Scoping Review

2020

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Apnea is one of the three cardinal findings in brain death (BD). Apnea testing (AT) is physiologically and practically complex. We sought to review described modifications of AT, safety and complication rates, monitoring techniques, performance of AT on extracorporeal membrane oxygenation (ECMO), and other relevant considerations regarding AT. We conducted a systematic scoping review to answer these questions by searching the literature on AT in English language available in PubMed or EMBASE since 1980. Pediatric or animal studies were excluded. A total of 87 articles matched our inclusion criteria and were qualitatively synthesized in this review. A large body of the literature on AT since its inception addresses a variety of modifications, monitoring techniques, complication rates, ways to perform AT on ECMO, and other considerations such as variability in protocols, lack of uniform awareness, and legal considerations. Only some modifications are widely used, especially methods to maintain oxygenation, and most are not standardized or endorsed by brain death guidelines. Future updates to AT protocols and strive for unification of such protocols are desirable.

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Abstract: In intensive care units, differences in definitions and care of patients with brain death continue to be a complication. There has been a lack of progress in criterion standards of brain death diagnosis and donor care, as verified by our survey.

Cited by 5 publications

References 20 publications

Retrospective Analysis of 1998 Patients Diagnosed with Brain Death between 2011 and 2019 in Turkey

Retrospective Analysis of 1998 Patients Diagnosed with Brain Death between 2011 and 2019 in Turkey

The Role of S100b Protein Biomarker in Brain Death: A Literature Review

Apnea Testing for the Determination of Brain Death: A Systematic Scoping Review

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