Does Early Apnea Test Have an Effect on the Organ Donation?
Journal Title: Türk Yoğun Bakım Dergisi - Year 2018, Vol 16, Issue 2
Abstract
Objective: This study aims to determine the extent to which the timing of apnea test has influence on the organ donation of those patients diagnosed with the brain death (BD) at University of Health Sciences, Şanlıurfa Mehmet Akif İnan Training and Research Hospital between the years of 2006-2017. Materials and Methods: One hundred and five patients diagnosed with BD between the years of 2006-2017 were analyzed retrospectively. Since the sample is limited to the national population, 13 Syrian cases are excluded from the study. The demographic characteristics of the cases, their clinical diagnoses, elapsed time between intensive care hospitalization and apnea test, duration between apnea test and cardio-circulatory arrest, elapsed time between apnea test and BD council decision time, Glasgow coma scores at first visit, APACHE II scores were recorded. Results: Of the ninety two cases evaluated in the study, 33 (35.9%) were female and 59 (64.1%) were male. While the most frequent diagnosis during the admission to the intensive care unit was trauma with 52.2% (n=48), the rest was found as stroke with 35.9% (n=33), anoxic brain injury after cardiopulmonary resuscitation with 6.5% (n=6), and asphyxia with 5.4% (n=5) respectively. Among the patients who have been diagnosed with BD, 12% of the family accepted organ donation. In the cases who accept organ donation; the median time from the first hospitalization in the intensive care unit to the time that the apnea test was positive is 57 hours whereas the median time is 86.8 hours when the organ donation is rejected (p>0.05). Conclusion: Whereas the number of patients diagnosed with BD in our hospital increases over the years, the organ donation rate is insufficient compared to the western part of the country.
Authors and Affiliations
Ayşe Güsün Halitoğlu, Mukaddes Saba Saygılı, Ahmat Kaya, Mehmet Tercan
Keywords
Related Articles
- EP ID EP382230
- DOI 10.4274/tybd.36854
- Views 102
- Downloads 0
Comparing Effects of Intraventricular Hypertonic Saline and Magnesium Sulfate Application on Diffuse Brain Injury in Rats
Objective: Diffuse brain injury is one of the most common issues encountered in, patients with trauma and it leads to morbidity and mortality via increased intracranial pressure. The aim of the study was to compare the e...
Acetamiprid Poisoning Followed By Prolonged Muscle Weakness
Neonicotinoids, a new insecticide group, are considered to possess a low toxicity profile for humans. In this paper, a 41-year-old female patient who was treated for prolonged muscle weakness at an intensive care unit fo...
Takotsubo Cardiomyopathy in Paraplegic Patient in Intensive Care Unit: A Case Report
Takotsubo cardiomyopathy (TC) is a disease mimicking Acute Coronary syndrome with electrocardiographic changes as well as temporary, reversible regional wall motion defect in the apical and middle segments of the left ve...
The Effect of Dexmedetomidine Infusion on Oxygen Consumption and Energy Expenditure in Critically Ill Patients
Objective: Anxiety may have deleterious effects by increasing oxygen consumption (VO2) and energy expenditure (EE) in mechanically ventilated patients. The effects of dexmedetomidine, a selective alpha-2 agonist sedative...
Incidence, Prevention and Treatment of Pressure Ulcers in Intensive Care Patients
Objective: The aim of this study was to discuss the risk factors and frequency associated with pressure ulcer (PU) development in intensive care units (ICU). Materials and Methods: A retrospective analysis of patients w...