Brain Death Epidemiology in Uruguay and Utilization of the Glasgow Coma Score in Acute Brain Injured Patients as a Predictor of Brain Death

Mizraji, R.; Perez-Protto, Silvia; Etchegaray, Adolfo; Castro, A.; Lander, Megan; Buccino, E.; Severo, Luiz Carlos; Alvarez, I.

doi:10.1016/j.transproceed.2009.09.008

Cited by 14 publications

(4 citation statements)

References 2 publications

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“…18 In Uruguay, donation after brain death is increasing, while in the United Kingdom, it remains stable. 19 Populous countries, including India, China, and Egypt, experience legal barriers to the practice of brain death determination. [20][21][22] A prior study 5 demonstrated variations in legal codes worldwide, which may partially explain differences in practice.…”

Section: /22 [59%] Upper-middle Income; 22/36 [61%]mentioning

confidence: 99%

Brain death declaration

et al. 2015

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Section: /22 [59%] Upper-middle Income; 22/36 [61%]mentioning

confidence: 99%

Brain death declaration

et al. 2015

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“…Transplantation of organs is a relatively new and multidimensional concept and similar to concept of death and several factors may effect on it such as social, cultural, and religious factors ( R. Arbour, 2005 ; Collins, 2005 ; Manzari et al, 2012 ; Nasrollahzadeh, Siavosh, & Ghods, 2003 ). On-time diagnosis of brain death is deemed as the first step in successful management of organ transplantation process and this issue is focused on importance of exact care-giving to brain death patients ( Mizraji et al, 2009 ; Todd, Jerome, & Jarquin-Valdivia, 2007 ; Vishteh et al, 2010 ). One of the challenges in today’s medical system of Iran is also fatalities of many needy patients to body organ because of delay in waiting list ( Manzari et al, 2012 ) while more than thousands cases of brain death take place due to several accidents every year and less than 10% of them are donors of body organs.…”

Section: Introductionmentioning

confidence: 99%

Lived Experiences of Iranian Nurses Caring for Brain Death Organ Donor Patients: Caring as “Halo of Ambiguity and Doubt”

Keshtkaran

Sharif²,

Navab³

et al. 2015

GJHS

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Background:Brain death is a concept in which its criteria have been expressed as documentations in Harvard Committee of Brain Death. The various perceptions of caregiver nurses for brain death patients may have effect on the chance of converting potential donors into actual organ donors.Objective:The present study has been conducted in order to perceive the experiences of nurses in care-giving to the brain death of organ donor patients.Methods:This qualitative study was carried out by means of Heidegger’s hermeneutic phenomenology. Eight nurses who have been working in ICU were interviewed. The semi-structured interviews were recorded by a tape-recorder and the given texts were transcribed and the analyses were done by Van-Mannen methodology and (thematic) analysis.Results:One of the foremost themes extracted from this study included ‘Halo of ambiguity and doubt’ that comprised of two sub-themes of ‘having unreasonable hope’ and ‘Conservative acceptance of brain death’. The unreasonable hope included lack of trust (uncertainty) in diagnosis and verification of brain death, passing through denial wall, and avoidance from explicit and direct disclosure of brain death in patients’ family. In this investigation, the nurses were involved in a type of ambiguity and doubt in care-giving to the potentially brain death of organ donor patients, which were also evident in their interaction with patients’ family and for this reason, they did not definitely announce the brain death and so far they hoped for treatment of the given patient. Such confusion and hesitance both caused annoyance of nurses and strengthening the denial of patients’ family to be exposed to death.Conclusion:The results of this study reveal the fundamental perceived care-giving of brain death in organ donor patients and led to developing some strategies to improve care-giving and achievement in donation of the given organ and necessity for presentation of educational and supportive services for nurses might become more evident than ever.

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“…The rate of traumatic brain injury in socio-economically low and middle-income schools is reported as 21-34%. [18][19][20] According to the World Health Organization, low-income school road traffic death rates are 24.1 and 9.2/100,000 people, respectively, according to high-income outcomes. [21,22] The rate of 12.9/100,000 people who have an annual traffic accident among donors explains the high rate of traumatic brain injury causing brain death.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Patients Diagnosed with Brain Death in Our Hospital in the Last 15 Years

Sahin

2023

Sisli Etfal

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B rain death is a clinical condition characterized by the complete and irreversible loss of brain, cerebellum and brainstem functions, which are the parts of the central nervous system located within the skull, and characterized by irreversible coma, areflexia and the absence of spontane-ous breathing in the patient. [1] The concept of brain death was first defined in 1959. The diagnosis of brain death was standardized in 1968 by establishing the Harvard Criteria. [2] "Brain death" has been defined by legal regulations in coun-Objectives: Retrospective analysis of cases diagnosed with brain death in our hospital in the last 15 years. Methods: The files and computer records of the cases diagnosed with brain death in the intensive care units of our hospital between January 2008 and January 2023 were evaluated retrospectively. The demographic data of the cases, the primary disease leading to brain death, the complementary tests used in the diagnosis of brain death, the day on which brain death was diagnosed in the intensive care unit, and the donor status were examined. Results: A total of 228 cases diagnosed as brain death were detected. Seven patients with missing data were excluded from the study. 61.99% of the cases were male, 38.01% were female, 14.02% were under 18 years old, 68.34% were between 18 and 65 years old, 17.64% were over 65 years old. Brain death was diagnosed in 69.69% of the patients admitted to the intensive care unit in the first 7 days, 22.17% in 7-14 days, and 8.14% after 14 days. The primary disease causing brain death was found to be 47% hemorrhagic cerebral injury, 21% traumatic hemorrhagic injury, 18% ischemic cerebral injury, and 14% hypoxic cerebral injury. No ancillary testing was used in 38% of the cases. Carotid doppler ultrasound was used in 36%, computed tomography angiography was used in 22%, and transcranial doppler was used in 4%. Families agreed to be organ transplant donors in 28.95% of the cases. 71.05% family members refused to be organ transplant donors. Conclusion:The number of organ donations and the diagnosis of brain death has decreased rapidly with the covid-19 pandemic. In order to increase organ donation, we think that the necessary education should be given at an early age to increase organ donation awareness and social awareness.

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Brain Death Epidemiology in Uruguay and Utilization of the Glasgow Coma Score in Acute Brain Injured Patients as a Predictor of Brain Death

Cited by 14 publications

References 2 publications

Brain death declaration

Brain death declaration

Lived Experiences of Iranian Nurses Caring for Brain Death Organ Donor Patients: Caring as “Halo of Ambiguity and Doubt”

Retrospective Analysis of Patients Diagnosed with Brain Death in Our Hospital in the Last 15 Years

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