Öz
Kaynakça
- 1. Chudoba P, Krajewski W, Wojciechowska J, Kamińska D. Brain death-associated pathological events and therapeutic options. Adv Clin Exp Med 2017; 26: 1457-64.
- 2. Farrell MM. Levin DL. Brain death in the pediatric patient: historical, sociologicali medicali religiousi culturali legal and ethical considerations. Crit Care Med 1993; 21(12): 1951-65.
- 3. https://www.saglik.gov.tr/TR,10528/organ-ve-doku-naklihizmetleri-yonetmeligi.html (the date of access: 07.03.2018).
- 4. Morrissey PE, Monaco AP. Donation after circulatory death: current practices, ongoing challenges, and potential improvements. Transplantation 2014; 15: 258-64.
- 5. Manyalich M, Nelson H, Delmonico FL. The need and opportunity for donation after circulatory death worldwide. Curr Opin Organ Transplant 2018; 23: 136-41.
- 6. http://www.mevzuat.gov.tr/MevzuatMetin/1.5.2238.pdf (the date of access: 04.08.2018)
- 7. Karasu D, Yılmaz C, Karaduman İ, Çınar YS, Buyukkoyuncu Pekel N. Retrospective analysis of brain death cases. Yoğun Bakım Journal 2015; 6: 23-6.
- 8. Kıraklı C, Uçar ZZ, Anıl AB, Özbek İ. The effect of shortening the definitive diagnosis time on the organ donation rates in the intensive care unit, Yoğun Bakım Journal 2011; 1: 8-11.
- 9. Uludağ Ö, Sabuncu Ü, Kuşderci H, Kaplan F, Tutak A, Doğukan M. Where are we in organ donation? J Turk Soc Intens Care 2016; 14: 86-92.
- 10. Yılmaz Ferhatoglu S, Yapici N. Brain Death and Organ Donation Rates in a City Hospital: A Retrospective Study. Cureus 2019; 11(2): 1-10.
- 11. Aghighi M, Mahdavi-Mazdeh M, Saberi Isfeedvajani M, et al. Brain-dead donation rate in month of Ramadan and the other months: 2005-2014. Int J Organ Transplant Med 2017; 8: 165-7.
- 12. Han SY, Kim JI, Lee EW, et al. Factors associated with a family’s delay of decision for organ donation after brain death. Ann Transplant 2017; 22: 17-23.
- 13. Eira CSLD, Barros MIT, Albuquerque AMP. Organ donation: the reality of an intensive care unit in Portugal. Rev Bras Ter Intensiva 2018; 30: 201-7.
- 14. Escudero D, Valentín MO, Escalante JL, et al. Intensive care practices in brain death diagnosis and organ donation. Anaesthesia 2015; 70: 1130-9.
- 15. Karan E, Elgin E, Oflaz R, Selimoğlu K, Coşkun B, Kelebek Girgin N. Retrospective analysis of organ donation rates in patients diagnosed with brain death in a university hospital. Uludağ University Medical School Journal 2019; 45 (1): 41-46.
- 16. Battal M, Horoz A, Karatepe O, Çitgez B. Research hospital experience in brain death detection. Şişli Etfal Hospital Medical Bulletin 2013; 47(2): 59-62.
Retrospective analysis of the patients with brain death diagnosis in the last 5 years in our hospital
Öz
Objective: The aim of this
study is to investigate the organ donation rate, the causes of brain death and
the blood gas parameters before and after apnea test by assessing the records of the patients with brain death
diagnosis in the last 5 years in our hospital.
Method: The records of
44 patients who were diagnosed as brain death between 01.01.2014-15.05.2019 at
Cumhuriyet University Research and Application Hospital were retrospectively
reviewed. Blood gas parameters before and after apnea test, demographic
characteristics, educational status, duration of diagnosing brain death, distribution
of the patients according to their services, organ donation rate, the causes of
brain death were evaluated.
Results: When the
patients diagnosed with brain death in Cumhuriyet University Hospital between
January 2014 and May 2019, 44 patients were found. Of these patients, 23 were
female (52.3%) and 21 were male (47.7%). When the patients who were diagnosed
with brain death were examined; 26 patients (59.1%) were found to be in the neurosurgery
intensive care unit and 13 patients (29.5%) in anesthesia intensive care unit. When
the causes leading to brain death are examined; The most common cause was
subarachnoid hemorrhage (SAH) in 18 patients (40.9%). Of the 44 patients
diagnosed with brain death, 9 (20.5%) were donors and 35 (79.5%) were not donors.
Conclusions: This
retrospective evaluation of 44 patients diagnosed with brain death within 5
years in the intensive care units of our hospital revealed that organ donation
rates were below the national average. We
think that not delaying in donor determination, not to be lack of donor care,
training of health workers in brain death and organ donation will increase the awareness
on organ donation and organ donation rates will increase in our hospital.
Anahtar Kelimeler
Kaynakça
- 1. Chudoba P, Krajewski W, Wojciechowska J, Kamińska D. Brain death-associated pathological events and therapeutic options. Adv Clin Exp Med 2017; 26: 1457-64.
- 2. Farrell MM. Levin DL. Brain death in the pediatric patient: historical, sociologicali medicali religiousi culturali legal and ethical considerations. Crit Care Med 1993; 21(12): 1951-65.
- 3. https://www.saglik.gov.tr/TR,10528/organ-ve-doku-naklihizmetleri-yonetmeligi.html (the date of access: 07.03.2018).
- 4. Morrissey PE, Monaco AP. Donation after circulatory death: current practices, ongoing challenges, and potential improvements. Transplantation 2014; 15: 258-64.
- 5. Manyalich M, Nelson H, Delmonico FL. The need and opportunity for donation after circulatory death worldwide. Curr Opin Organ Transplant 2018; 23: 136-41.
- 6. http://www.mevzuat.gov.tr/MevzuatMetin/1.5.2238.pdf (the date of access: 04.08.2018)
- 7. Karasu D, Yılmaz C, Karaduman İ, Çınar YS, Buyukkoyuncu Pekel N. Retrospective analysis of brain death cases. Yoğun Bakım Journal 2015; 6: 23-6.
- 8. Kıraklı C, Uçar ZZ, Anıl AB, Özbek İ. The effect of shortening the definitive diagnosis time on the organ donation rates in the intensive care unit, Yoğun Bakım Journal 2011; 1: 8-11.
- 9. Uludağ Ö, Sabuncu Ü, Kuşderci H, Kaplan F, Tutak A, Doğukan M. Where are we in organ donation? J Turk Soc Intens Care 2016; 14: 86-92.
- 10. Yılmaz Ferhatoglu S, Yapici N. Brain Death and Organ Donation Rates in a City Hospital: A Retrospective Study. Cureus 2019; 11(2): 1-10.
- 11. Aghighi M, Mahdavi-Mazdeh M, Saberi Isfeedvajani M, et al. Brain-dead donation rate in month of Ramadan and the other months: 2005-2014. Int J Organ Transplant Med 2017; 8: 165-7.
- 12. Han SY, Kim JI, Lee EW, et al. Factors associated with a family’s delay of decision for organ donation after brain death. Ann Transplant 2017; 22: 17-23.
- 13. Eira CSLD, Barros MIT, Albuquerque AMP. Organ donation: the reality of an intensive care unit in Portugal. Rev Bras Ter Intensiva 2018; 30: 201-7.
- 14. Escudero D, Valentín MO, Escalante JL, et al. Intensive care practices in brain death diagnosis and organ donation. Anaesthesia 2015; 70: 1130-9.
- 15. Karan E, Elgin E, Oflaz R, Selimoğlu K, Coşkun B, Kelebek Girgin N. Retrospective analysis of organ donation rates in patients diagnosed with brain death in a university hospital. Uludağ University Medical School Journal 2019; 45 (1): 41-46.
- 16. Battal M, Horoz A, Karatepe O, Çitgez B. Research hospital experience in brain death detection. Şişli Etfal Hospital Medical Bulletin 2013; 47(2): 59-62.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Surgical Science Research Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Haziran 2019 |
| Kabul Tarihi | 17 Haziran 2019 |
| Yayımlandığı Sayı | Yıl 2019 |