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- Title
Reevaluation of Necessity for Second Examination to Conirm Brain Death in Mashhad's Cadaver Donation Policy 2002-2012.
- Authors
Zabihyan, S.; Rezaie, H. Etemad; Gharavi, M.; Khaleghi, E.; Pooyan, A.
- Abstract
Background: Brain-dead patients, those with irreversible total dysfunction of all cortical, subcortical and brain stem simultaneously, are one of the most important sources of supplying organ donations nowadays. Iran's policy of organ donations declare a 24-hour gap to reevaluate a brain-dead patient for confirming with clinical findings and test. It varies with other countries' policy such as US or Australia--with a 6-hour gap--or other parts of the world. These situations caused a burden of costs as well as difficulties for health care system in Iran and a higher risk of wasting of probable organs for donation. Methods: In a retrospective study, we examined medical charts of those brain-dead patients diagnosed in hospitals affiliated to Mashhad University of Medical sciences who did not resulted in organ donations with various reasons from 2002-2012. Results: There was no significant relation between sex, age or cause of death and the interval of confirming brain death. There was not even a single case of denying brain death primary confirmation. Of 516 cases with known and confirmed brain death, 91 led to failure of organ donation due to reevaluation time. Among our selected 91 cases of organ donation failure 61(67%) expired because of cardiopulmonary complications, 12 (13%) wasted in relation to renal dysfunction, and other 18 (208%) cases for moral or underlying problems. Conclusion: Regarding the presenting study, there is not only no reason for a 24-hour interval between primary and secondary confirmation of brain death in probable cases of organ donations, but it would be a wise decision if the time gap could be omitted due to higher chance of not wasting organs during primary and secondary confirmation.
- Subjects
BRAIN death; BRAIN stem diseases; ORGAN donation
- Publication
International Journal of Organ Transplantation Medicine, 2016, Vol 7, Issue 2, p127
- ISSN
2008-6490
- Publication type
Abstract