Evaluation of Patients Diagnosed with Brain Death in Paediatric Critical Care
Aim:We aimed to investigate the rate of brain death (BD) determinations and organ donations in our tertiary pediatric intensive care unit (PICU), and to report the data on demographic pattern and supplementary descriptive data on the BD declarations.Materials and Methods:Age and gender of the cases...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2020-09-01
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| Series: | Journal of Pediatric Research |
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| Online Access: |
http://jpedres.org/archives/archive-detail/article-preview/evaluation-of-patients-diagnosed-with-brain-death-/39745
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| _version_ | 1797922452137836544 |
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| author | Muhterem Duyu Zeynep Karakaya |
| author_facet | Muhterem Duyu Zeynep Karakaya |
| author_sort | Muhterem Duyu |
| collection | DOAJ |
| description | Aim:We aimed to investigate the rate of brain death (BD) determinations and organ donations in our tertiary pediatric intensive care unit (PICU), and to report the data on demographic pattern and supplementary descriptive data on the BD declarations.Materials and Methods:Age and gender of the cases were recorded, and also clinical conditions causing BD were grouped and recorded under six headings including; traumatic brain injury (TBI), brain neoplasm, cardiac arrest, intracranial haemorrhage, central nervous system infection and other causes. The time from the PICU admission to the diagnosis of BD, the time from suspicion of BD to final diagnosis, duration of survival after diagnosis of BD, confirmatory tests used, whether apnea test is performed, and inherent alterations (diabetes insipidus, hyperglycaemia, hypothermia) that occurred following diagnosis of BD were recorded. Organ donation rate, the name and number of organs harvested were determined.Results:Twenty-three patients were diagnosed with BD. The mean age of the patients diagnosed with BD was 5.5±4.9 years. The causative mechanism leading to BD was classified into six groups, out of which the most common diagnosis was TBI with a rate of 39.3%. The meantime from PICU admission to BD diagnosis was 5.7±5.5 days. The time period from suspicion of BD to the final diagnosis was 1.6±0.7 days and the meantime to develop cardiac arrest after diagnosis of BD was 13.1±21.6 days in non-donor cases. The most commonly used confirmation test was brain computed tomography angiography with 82.6%. The most common alteration that follow BD was diabetes insipidus (56.5%). Four patients became organ donors (17.4%).Conclusion:Patients with severe TBI are the most likely candidates for BD declaration and suitable for organ donation for children in need. Early diagnosis and good donor care are of great importance, especially for paediatric patients waiting for organ transplants. |
| first_indexed | 2024-04-10T14:31:35Z |
| format | Article |
| id | doaj.art-4deb22b3de6a41799926a5f23e8ce1b6 |
| institution | Directory Open Access Journal |
| issn | 2147-9445 2587-2478 |
| language | English |
| last_indexed | 2024-04-10T14:31:35Z |
| publishDate | 2020-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Pediatric Research |
| spelling | doaj.art-4deb22b3de6a41799926a5f23e8ce1b62023-02-15T16:08:47ZengGalenos YayineviJournal of Pediatric Research2147-94452587-24782020-09-017325025610.4274/jpr.galenos.2020.8247413049054Evaluation of Patients Diagnosed with Brain Death in Paediatric Critical CareMuhterem Duyu0Zeynep Karakaya1 Medeniyet University, Göztepe Training and Research Hospital, Pediatric Intensive Care Unit, Clinic of Pediatrics, İstanbul, Turkey Medeniyet University, Göztepe Training and Research Hospital, Clinic of Pediatrics, İstanbul, Turkey Aim:We aimed to investigate the rate of brain death (BD) determinations and organ donations in our tertiary pediatric intensive care unit (PICU), and to report the data on demographic pattern and supplementary descriptive data on the BD declarations.Materials and Methods:Age and gender of the cases were recorded, and also clinical conditions causing BD were grouped and recorded under six headings including; traumatic brain injury (TBI), brain neoplasm, cardiac arrest, intracranial haemorrhage, central nervous system infection and other causes. The time from the PICU admission to the diagnosis of BD, the time from suspicion of BD to final diagnosis, duration of survival after diagnosis of BD, confirmatory tests used, whether apnea test is performed, and inherent alterations (diabetes insipidus, hyperglycaemia, hypothermia) that occurred following diagnosis of BD were recorded. Organ donation rate, the name and number of organs harvested were determined.Results:Twenty-three patients were diagnosed with BD. The mean age of the patients diagnosed with BD was 5.5±4.9 years. The causative mechanism leading to BD was classified into six groups, out of which the most common diagnosis was TBI with a rate of 39.3%. The meantime from PICU admission to BD diagnosis was 5.7±5.5 days. The time period from suspicion of BD to the final diagnosis was 1.6±0.7 days and the meantime to develop cardiac arrest after diagnosis of BD was 13.1±21.6 days in non-donor cases. The most commonly used confirmation test was brain computed tomography angiography with 82.6%. The most common alteration that follow BD was diabetes insipidus (56.5%). Four patients became organ donors (17.4%).Conclusion:Patients with severe TBI are the most likely candidates for BD declaration and suitable for organ donation for children in need. Early diagnosis and good donor care are of great importance, especially for paediatric patients waiting for organ transplants. http://jpedres.org/archives/archive-detail/article-preview/evaluation-of-patients-diagnosed-with-brain-death-/39745 brain deathpaediatric intensive careorgan donation |
| spellingShingle | Muhterem Duyu Zeynep Karakaya Evaluation of Patients Diagnosed with Brain Death in Paediatric Critical Care Journal of Pediatric Research brain death paediatric intensive care organ donation |
| title | Evaluation of Patients Diagnosed with Brain Death in Paediatric Critical Care |
| title_full | Evaluation of Patients Diagnosed with Brain Death in Paediatric Critical Care |
| title_fullStr | Evaluation of Patients Diagnosed with Brain Death in Paediatric Critical Care |
| title_full_unstemmed | Evaluation of Patients Diagnosed with Brain Death in Paediatric Critical Care |
| title_short | Evaluation of Patients Diagnosed with Brain Death in Paediatric Critical Care |
| title_sort | evaluation of patients diagnosed with brain death in paediatric critical care |
| topic | brain death paediatric intensive care organ donation |
| url |
http://jpedres.org/archives/archive-detail/article-preview/evaluation-of-patients-diagnosed-with-brain-death-/39745
|
| work_keys_str_mv | AT muhteremduyu evaluationofpatientsdiagnosedwithbraindeathinpaediatriccriticalcare AT zeynepkarakaya evaluationofpatientsdiagnosedwithbraindeathinpaediatriccriticalcare |