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Barriers to the identification of possible organ donors among brain-injured patients admitted to intensive care units

BACKGROUND: Improving organ donation rates requires better detection of possible organ donors, which in turn necessitates identifying barriers preventing the identification of possible organ donors. The objectives of this study were to determine the actual rate of possible deceased organ donors amon...

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Autores principales: Ismail, Abdul Jabbar bin, Ahmad, Nor Diyanah, Ching, Chong Si, Lean, Cheah Siew, Keong, Tony Tan Beng, Zaini, Mohd Izzwan, Kheng, Cheah Phee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Transplantation 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332283/
https://www.ncbi.nlm.nih.gov/pubmed/37435142
http://dx.doi.org/10.4285/kjt.23.0009
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author Ismail, Abdul Jabbar bin
Ahmad, Nor Diyanah
Ching, Chong Si
Lean, Cheah Siew
Keong, Tony Tan Beng
Zaini, Mohd Izzwan
Kheng, Cheah Phee
author_facet Ismail, Abdul Jabbar bin
Ahmad, Nor Diyanah
Ching, Chong Si
Lean, Cheah Siew
Keong, Tony Tan Beng
Zaini, Mohd Izzwan
Kheng, Cheah Phee
author_sort Ismail, Abdul Jabbar bin
collection PubMed
description BACKGROUND: Improving organ donation rates requires better detection of possible organ donors, which in turn necessitates identifying barriers preventing the identification of possible organ donors. The objectives of this study were to determine the actual rate of possible deceased organ donors among nonreferred cases and to identify barriers to their identification as possible donors. METHODS: This retrospective observational study used 6 months of data collected from two intensive care units (ICUs). Possible organ donors were defined as patients with a Glasgow Coma Scale score <5 and evidence of severe neurological damage. Barriers that led to the nonidentification of these patients as possible organ donors were also identified. RESULTS: Fifty-six of 819 patients admitted to the ICUs during the study period were detected as possible organ donors, representing a 6.83% possible organ donor detection rate. Nonclinical barriers to the identification of possible organ donors were found to be more significant than clinical barriers (55% vs. 45%, respectively). The most significant nonclinical barrier was an unknown reason, despite patients being medically suitable for deceased organ donation and fulfilling the criteria for possible organ donor classification. Unresolved sepsis was the main clinical barrier. CONCLUSIONS: The significant rate of unreferred possible deceased organ donors found in this study reveals the need to increase awareness and knowledge among clinicians of the proper detection of possible donors at an early stage to avoid the loss of possible deceased organ donors, and thereby increase the deceased organ donation rate in Malaysian hospitals.
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spelling pubmed-103322832023-07-11 Barriers to the identification of possible organ donors among brain-injured patients admitted to intensive care units Ismail, Abdul Jabbar bin Ahmad, Nor Diyanah Ching, Chong Si Lean, Cheah Siew Keong, Tony Tan Beng Zaini, Mohd Izzwan Kheng, Cheah Phee Korean J Transplant Original Article BACKGROUND: Improving organ donation rates requires better detection of possible organ donors, which in turn necessitates identifying barriers preventing the identification of possible organ donors. The objectives of this study were to determine the actual rate of possible deceased organ donors among nonreferred cases and to identify barriers to their identification as possible donors. METHODS: This retrospective observational study used 6 months of data collected from two intensive care units (ICUs). Possible organ donors were defined as patients with a Glasgow Coma Scale score <5 and evidence of severe neurological damage. Barriers that led to the nonidentification of these patients as possible organ donors were also identified. RESULTS: Fifty-six of 819 patients admitted to the ICUs during the study period were detected as possible organ donors, representing a 6.83% possible organ donor detection rate. Nonclinical barriers to the identification of possible organ donors were found to be more significant than clinical barriers (55% vs. 45%, respectively). The most significant nonclinical barrier was an unknown reason, despite patients being medically suitable for deceased organ donation and fulfilling the criteria for possible organ donor classification. Unresolved sepsis was the main clinical barrier. CONCLUSIONS: The significant rate of unreferred possible deceased organ donors found in this study reveals the need to increase awareness and knowledge among clinicians of the proper detection of possible donors at an early stage to avoid the loss of possible deceased organ donors, and thereby increase the deceased organ donation rate in Malaysian hospitals. The Korean Society for Transplantation 2023-06-30 2023-04-24 /pmc/articles/PMC10332283/ /pubmed/37435142 http://dx.doi.org/10.4285/kjt.23.0009 Text en Copyright © 2023 The Korean Society for Transplantation https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ismail, Abdul Jabbar bin
Ahmad, Nor Diyanah
Ching, Chong Si
Lean, Cheah Siew
Keong, Tony Tan Beng
Zaini, Mohd Izzwan
Kheng, Cheah Phee
Barriers to the identification of possible organ donors among brain-injured patients admitted to intensive care units
title Barriers to the identification of possible organ donors among brain-injured patients admitted to intensive care units
title_full Barriers to the identification of possible organ donors among brain-injured patients admitted to intensive care units
title_fullStr Barriers to the identification of possible organ donors among brain-injured patients admitted to intensive care units
title_full_unstemmed Barriers to the identification of possible organ donors among brain-injured patients admitted to intensive care units
title_short Barriers to the identification of possible organ donors among brain-injured patients admitted to intensive care units
title_sort barriers to the identification of possible organ donors among brain-injured patients admitted to intensive care units
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332283/
https://www.ncbi.nlm.nih.gov/pubmed/37435142
http://dx.doi.org/10.4285/kjt.23.0009
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