Retrospective analysis of patiens with brain death

Abstract

Objectives: We aimed to retrospectively analyze brain death cases in the our intensive care units. Methods: We examined archive records of brain death cases diagnosed between January 01, 2014 and October 01, 2018. We recorded patients' demographics (age, gender, place of birth, blood type and diagnosis on admission), time to the preparation of the report, additional tests performed, rate of organ donation, donor rate, and number of organs removed. Results: A total of 151 brain death cases were detected. Of these, 69 were female. The average age was 53.96 ± 19.52years. A Rh + was the most common type (39.7%) in blood type analysis. Intracranial hemorrhage was the primary reason (54.3%) for admission. Apnea test was performed for 88 patients. Radiological imaging was used in 129 (85.4%) cases; computed tomography angiography being the most commonly performed method with 79 (52.3%) cases. Forty four patients' families consented to organ donation. Considering the place of birth for donors, Marmara Region was the leader with 18 (40.9%) donors. Of the 82 brain death cases diagnosed with intracranial hemorrhage, 35 (42.68%) donated organs and this rate was significantly high (p = 0.002). The mean follow-up period for brain death was 1.49 days. Conclusions: Health team is responsible for identifying brain death and shoud be conscious about it, attempting to increase organ donation. They should act rapidly and avoid wasting time after the diagnosis. Family interviews to be conducted by an experienced and trained organ donation coordinator may increase donations by emphasizing the importance of organ donations. Giving wide media coverage to organ donation may increase awareness of the community of organ donation.

Brain death diagnosis and management in the COVID-19 pandemic

“…The mean age of patients diagnosed with BD varies in the literature, and it is reported to be common in patients aged 40-50 years 14,20 . In our study, the mean age of patients diagnosed with BD was 59.9 years, and this result was similar to the results of other studies conducted in our country 15,19 .…”

“…In studies conducted in our country, it is seen that the majority of cases diagnosed with BD are male 14,15,19 .…”

“…In our study, hospitalization diagnoses of BD cases were found to be 67.5% cranial hemorrhagic events and 13.5% occlusive cerebrovascular disease, similar to the diagnoses in the literature. In the literature, it is seen that BD is diagnosed in the first week after admission to the ICU 14,15,19,20 . However, in a study conducted during the pandemic process, it was reported that this period was four days on average 23 .…”

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

“…In two separate studies conducted in Türkiye between 2008–2019 and 2014–2018, it was determined that approximately 55% of the cases were male and the mean age was 49 and 53, respectively. [ 8 , 9 ] In addition, in the study of Sipahioglu et al [ 10 ] examining the cases diagnosed with 1998 brain death between 2011 and 2019, 63.8% were male and 36.2% were female, and the median age of the cases was 38 years. In the cohort study conducted on 69,735 cases in the USA between 2012 and 2016, 56.47% of the cases were male and 43.53% were female.…”

“…The primary disease causing permanent brain death in Türkiye has been identified as approximately 50–55% intracranial haemorrhage. [ 8 , 10 , 15 ] In Spain with 1844 cases and in Italy with 1286 cases, the primary disease causing death was found to be intracranial hemorrhage in 56% and 52%, respectively. [ 16 , 17 ] In the study literature, the primary disease of cases with brain death was found to be hemorrhagic cerebral damage in 47% of cases.…”