The role of healthcare professionals to improve organ donation and transplantation outcome: a national study

Shadnoush, Mahdi; Latifi, M.A.; Rahban, Habib; Pourhosein, Elahe; Dehghani, Sanaz

doi:10.1007/s10561-023-10071-7

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…[ 8 ] Reports in Iran indicate about 24,000 organ transplants were performed from 8,300 donors in 2019. [ 10 ]…”

Section: Introductionmentioning

confidence: 99%

Explanation of the sociological patterns of organ donation: An analytical study

Lalehgani,

Babaee,

Yazdannick

et al. 2024

Journal of Education and Health Promotion

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BACKGROUND: In many countries, the consent of family members is required for organ donation from brain-dead patients who are potential candidates for organ donation. In this regard, knowing the factors affecting family members’ decision for organ donation can help improve the conditions. This qualitative study aimed to identify the factors affecting family members’ decision-making regarding donation of brain-dead patients’ organs. MATERIALS AND METHODS: This research applied qualitative research by focusing on the content analysis approach. The study started from April 2021 in Al-Zahra Hospital in Isfahan and Ayatollah Kashani in Shahrekord and continued until data saturation was reached (September 1401). Participants were assigned to one of three groups: brain-dead patients’ family members who consented to organ donation, brain-dead patients’ family members who declined to consent to organ donation, and people involved in the organ donation process. The sample was selected using the purposive sampling method. The data were collected using unstructured interviews and the field survey method. In this study, a qualitative content analysis with a contractual approach was used to analyze the data. RESULTS: The analysis of the collected data using different methods yielded 11 main categories, including 1) unresponsive healthcare system, 2) inadequate support from government systems, 3) weakness of social work organizations, 4) fear of being stigmatized, 5) cultural values, 6) symbolization, 7) perpetuation and the society’s attitude, 8) development of personality system and generalism, 9) human values, 10) spiritual maturity, and 11) belief-religious challenges, leading finally to three themes, including 1) structural and functional weakness of systems, 2) sociocultural factors, and 3) worldview. CONCLUSION: The findings of the present research were able to identify the roots and social factors affecting Iranian families’ decisions regarding the consent or nonconsent of brain-dead patient members. Health system administrators and organ donation committees in medical sciences universities in Iran can try to solve the shortage of donated organs by using the specific social aspects introduced in this study. It is also recommended to design effective models for more satisfaction of family members for brain death patient organ donation in healthcare based on the underlying concepts of this study.

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“…[ 8 ] Reports in Iran indicate about 24,000 organ transplants were performed from 8,300 donors in 2019. [ 10 ]…”

Section: Introductionmentioning

confidence: 99%

Explanation of the sociological patterns of organ donation: An analytical study

Lalehgani,

Babaee,

Yazdannick

et al. 2024

Journal of Education and Health Promotion

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“…Brain death can mostly be diagnosed clinically and/or with an apnea test 1 . Early diagnosis of brain death is important to expedite organ transplantation, provide closure for loved ones, and prevent unnecessary negative medical interventions and when possible expedite organ transplantation 2 .…”

Section: Introductionmentioning

confidence: 99%

Association between red blood cell distribution width and the prognosis of brain death in patients with a Glasgow Coma Scale < 6

Latifi,

Rahban,

Pourhosein

et al. 2023

Sci Rep

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Red blood cell distribution width (RDW) has been reported as a meaningful prognostic factor in various diseases. Our study compared patients’ RDW levels and prognosis at admission and discharge time. A total of 128 patients 77 patients who suffered brain death (subject group), and 51 patients who were discharged from the hospital (control group) with GCS ≤ 6 were recruited from 60 hospitals for this study. Demographical data and RDW measurements in these patients at admission time and brain death/discharge time were extracted into two groups. 46 (35.9%) patients were females and 82 patients (64.1%) were males with a median age of 36 years old. A significant difference in baseline characteristics of GCS (P < 0.001), RDW at admission time (P < 0.001), and RDW at discharge or brain death time (P < 0.001) were noted between the two groups. In the overall population, RDW at admission time had a median value of 13.75% and was positively correlated with gender (P < 0.04, rs = 0.582) and age (P < 0.023, rs = − 0.201). Initially, there were no significant differences in RDW upon admission. However, upon discharge, although the RDW in the control group was not significant (P < 0. 1), the RDW level at the time of brain death was notably 0.45 fold higher (P = 0.001) compared to the time of admission. The standardized residuals at the two-time points showed an approximately normal distribution. The most effective RDW cut-off in Brain death was determined as 14.55. Based on the findings, using RDW as a prognostic factor has a sensitivity of 0.468 and a specificity of 0.137 in diagnosing brain death. RDW biomarker is a simple and inexpensive laboratory test that may be seen as a valuable perspective for initial patient evaluation. RDW is a powerful marker for the prognosis of brain death in patients with a GCS ≤ 6 at admission time, in order to identify a subset of patients who may require more aggressive management in the trauma center.

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“…The consent rate and donor management in cases of brain death are still unacceptable, with the overall family consent rate in the country being 60.63%, indicating room for progress. 3 Coordinators need the training to increase their efficiency in terms of family approach. 4 Moreover, the national deceased donation rate is still below the proposed acceptable target of 25 PMP and well below those of countries leading in organ donation.…”

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confidence: 99%