Improving the Approach to Organ Donation: A Review

Jenkins, Donald H.; Reilly, Patrick; Schwab, C. William

doi:10.1007/pl00012362

Cited by 82 publications

(48 citation statements)

References 48 publications

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“…The 1999 data were extrapolated from the donations made in the first 10 months. In the July 1999 issue of the World Journal of Surgery, 9 the University of Pennsylvania group makes a similar case for surgical critical care involvement, which reported comparable results.…”

supporting

confidence: 68%

Surgical Critical Care

Berne

2000

Arch Surg

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supporting

confidence: 68%

Surgical Critical Care

Berne

2000

Arch Surg

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“…The concept of BD and its correct diagnosis have gained importance with organ transplantations 8 . However, data from a survey published in 1989 revealed that only 35% of health professionals (76 physicians and 80 nurses) involved in organ procurement for transplantation was able to correctly diagnose BD 9 .…”

Section: Concept Of Brain Deathmentioning

confidence: 99%

Movements in Brain Death: A Systematic Review

Saposnik

Basile

Young

2009

Can. j. neurol. sci.

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Brain death is the irreversible lost of function of the brain including the brainstem. The presence of spontaneous or reflex movements constitutes a challenge for the neurological determination of death. We reviewed historical aspects and practical implications of the presence of spontaneous or reflex movements in individuals with brain death and postulated pathophysiological mechanisms. We identified and reviewed 131 articles on movements in individuals with confirmed diagnosis of brain death using Medline from January 1960 until December 2007, using ‘brain death’ or ‘cerebral death’ and ‘movements’ or ‘spinal reflex’ as search terms. There was no previous systematic review of the literature on this topic. Plantar withdrawal responses, muscle stretch reflexes, abdominal contractions, Lazarus's sign, respiratory-like movements, among others were described. For the most part, these movements have been considered to be spinal reflexes. These movements are present in as many as 40-50% of heart-beating cadavers. Although limited information is available on the determinants and pathophysiological mechanisms of spinal reflexes, clinicians and health care providers should be aware of them and that they do not preclude the diagnosis of brain death or organ transplantation.

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“…The continuously increasing number of patients on transplantation waiting lists all over the world is contrasted by a stagnancy, or even a decline, in the already insufficient frequency of organ donation in recent years (2)(3)(4). In 1998, in the United States, the total number of patients awaiting transplants of all types was reported to be 56 000, with a transplant candidate dying every 3.5 min for lack of an organ (5).…”

Section: Introductionmentioning

confidence: 99%

“…The need to obtain family consent presents a major barrier to organ procurement as it causes an important psychological burden for the family and medical staff involved (12)(13)(14)(15)(16)(17)(18). Donor action programs and educational initiatives try to address some of the medical and psychological problems that arise (4,(19)(20)(21)(22)(23)(24)(25)(26).…”

Section: Introductionmentioning

confidence: 99%

Attitudes and Behavior of Young European Adults Towards the Donation of Organs – a Call for Better Information

Groß

Martinoli

Spagnoli

et al. 2001

American Journal of Transplantation

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Public perception of organ donation critically affects the availability of organ transplantation in the Western world. To assess the attitude of young adults towards the donation of organs and to investigate potential factors influencing their knowledge and actual behavior regarding organ transplantation, we evaluated a handout questionnaire survey of all Swiss-Italian recruits during six of the years 1989-98 (n Ω 7272). The attitude of recruits towards organ donation did not change significantly within the 10-year survey period: 61% of young men would personally donate their organs in the case of brain death, 13% would refuse, and 26% had not made up their mind. If they had to decide for close relatives, 50% would consent; 60% of recruits neither knew their next of kin's attitude nor had informed them about their own opinion; 80% felt they were insufficiently informed about organ transplantation. A significantly more positive attitude towards organ donation was found among men who felt they were sufficiently informed, who had close next of kin who were aware of their personal attitude (p ∞0.0001), who had contacts with transplanted persons (p ∞0.015), or who believed in an existence after death (p ∞0.001; c 2 -test). Our results suggest that there is potentially large support towards organ donation in this population. To minimize the high rate of indecisiveness, young adults need more appropriate information on the subject and they ask for it.

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Improving the Approach to Organ Donation: A Review

Cited by 82 publications

References 48 publications

Surgical Critical Care

Surgical Critical Care

Movements in Brain Death: A Systematic Review

Attitudes and Behavior of Young European Adults Towards the Donation of Organs – a Call for Better Information

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