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Factors Delaying Organ Procurement After Declaration of Brain Death in Korea.
Yu, Y-D; Kim, S-J; Jang, Y-S; Jung, S-W; Han, J-H; Jun, H; Jung, C-W; Kim, D-S.
Afiliación
  • Yu YD; Division of HBP Surgery and Liver Transplantation, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea.
  • Kim SJ; Department of Nursing Service, Korea University Anam Hospital, Seoul, Korea.
  • Jang YS; Department of Nursing Service, Korea University Anam Hospital, Seoul, Korea.
  • Jung SW; Division of HBP Surgery and Liver Transplantation, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea.
  • Han JH; Division of HBP Surgery and Liver Transplantation, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea.
  • Jun H; Division of Transplantation and Vascular Surgery, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea.
  • Jung CW; Division of Transplantation and Vascular Surgery, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea.
  • Kim DS; Division of HBP Surgery and Liver Transplantation, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea. Electronic address: kimds1@korea.ac.kr.
Transplant Proc ; 48(7): 2403-2406, 2016 Sep.
Article en En | MEDLINE | ID: mdl-27742309
BACKGROUND: Organ donation after brain death is a major source for obtaining transplantable organs for patients with end-stage organ disease. However, the time from declaring brain death to organ procurement is often longer than expected. Analyzing factors that delay organ procurement may help to prevent damage to organs from marginal and unstable donors and aid in preparation for recipient operation. The aim of this study was to examine factors associated with the interval between the time of declaring brain death and organ procurement. METHODS: Medical records of patients who underwent organ procurement after brain death from February 2009 to April 2015 were retrospectively reviewed. RESULTS: Of the 77 patients which were scheduled to undergo organ procurement, 68 eventually underwent procurement of ≥1 organ. The average time interval from 1st exam for brain death to organ procurement decreased from 1,248 minutes in 2009 to 910 minutes in 2015. Although not statistically significant, during the 6-year period, the time interval decreased from 1,105 minutes to 1,075 minutes in the latter half of the period (P = .623). Organ procurement was extensively delayed most commonly owing to false negative electroencephalogram (EEG; 62.5%). CONCLUSIONS: With increasing experience in dealing with brain death donors, the time interval from declaring brain death to organ procurement decreased. We suggest that an EEG be performed during the initial stages of examination for brain death to prevent unnecessary preparation of recipient operation owing to a false EEG test.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obtención de Tejidos y Órganos / Muerte Encefálica / Electroencefalografía Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Transplant Proc Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obtención de Tejidos y Órganos / Muerte Encefálica / Electroencefalografía Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Transplant Proc Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos