"A Comparative Analysis of the Number of Organ Retrievals in Relation to Potential Donation Qualifications in Populations of Patients From a Single Anesthesiology and Intensive Care Unit in 2017-2018".

Autor:	Kudliński B; Department of Emergency Medicine, Anesthesiology and Intensive Care in University Hospital Named After K. Marcinkowski, Collegium Medicum University of Zielona Gora, Zielona Góra, Poland., Trosiak M; Department of Anesthesiology and Intensive Care, University Hospital Named After K. Marcinkowski, Zielona Góra, Poland., Wojciech M; Department of Statisical Mathematics and Econometry, Faculty of Mathematics, Informatics and Econometry in University of Zielona Gora, Zielona Góra, Poland., Zaborniak G; Faculty of Mathematics, Informatics and Econometry in University of Zielona Gora, Zielona Góra, Poland., Kania J; Faculty of Medicine and Health Science, Collegium Medicum University of Zielona Gora, Zielona Góra, Poland., Buczek A; Faculty of Medicine and Health Science, Collegium Medicum University of Zielona Gora, Zielona Góra, Poland., Fedorowicz O; Faculty of Medicine and Health Science, Collegium Medicum University of Zielona Gora, Zielona Góra, Poland., Myślak M; Department of Nephrology, Transplantology and Internal Medicine Clinic, Pomerian Medical University, Szczecin, Poland.
Jazyk:	angličtina
Zdroj:	Frontiers in medicine [Front Med (Lausanne)] 2022 Aug 17; Vol. 9, pp. 930290. Date of Electronic Publication: 2022 Aug 17 (Print Publication: 2022).
DOI:	10.3389/fmed.2022.930290
Abstrakt:	The population of patients declared as brain dead and qualified for organ donation is relatively low in Poland. The main causes of brain death include cerebral vascular diseases and brain trauma (54 and 34%, respectively, according to Poltransplant registry data). The number of organ procurements in Poland is constantly recorded on average at 14 donations per 1 million citizens (14/mln) in 2017 and 12 donations per one million in 2018. It is difficult to precisely define the number of patients who meet the criteria for brain death certification. The authors have retrospectively analyzed the medical data of 229 patients from 2017 and 2018 records with the aim of identifying potential organ donors among patients of the Intensive Care Unit (ICU) in the University Hospital in Western Poland. Brain death was suspected in 53 patients (23.14%). Brain imaging to confirm no cerebral flow (which is consistent with brain death) was performed in 17 patients (7.45%) and this, as a result, led to organ donation in 9 cases (3.93%). The factors identified as having a positive influence on organ donation included: daily thorough physical examination, (Glasgow Coma Scale) GCS assessment, depth and duration of sedation, ICU length of stay and early performance of a CT-angiogram. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Kudliński, Trosiak, Wojciech, Zaborniak, Kania, Buczek, Fedorowicz and Myślak.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu