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Factors Affecting the Time Taken to Determine Brain Death in Patients with Impending Brain Deathopen access

Authors
Kim, Young-SooKim, Do-HyungYang, Tae-WonKim, MinhwaLee, JeongrimCho, WonhyunKwon, Oh-Young
Issue Date
Oct-2020
Publisher
KOREAN NEUROLOGICAL ASSOC
Keywords
brain death; organ transplantation; time; movement; craniotomy
Citation
JOURNAL OF CLINICAL NEUROLOGY, v.16, no.4, pp 668 - 673
Pages
6
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF CLINICAL NEUROLOGY
Volume
16
Number
4
Start Page
668
End Page
673
URI
https://scholarworks.gnu.ac.kr/handle/sw.gnu/6148
DOI
10.3988/jcn.2020.16.4.668
ISSN
1738-6586
2005-5013
Abstract
Background and Purpose The increased demand for donor organs has made it crucial to keep the organs of patients with impending brain death (PWIBDs) suitable for transplantation during the process of determining brain death. This study aimed to identify the time taken to determine brain death (TT-BD) in PWIBDs and the associated influencing factors. Methods This study analyzed data collected by the Korean Organ Donation Agency from 15 hospitals in the Yeongnam region of South Korea. There were 414 PWIBDs eligible for inclusion in this study. The data consisted of the TT-BD for PWIBDs and the potential variables influencing the TT-BD. Results The mean age of the 414 PWIBDs was 48.9 years, and 120 of them were female (29.0%). The mean TT-BD was 8.5 days. The presence of spontaneous movements (SMs) and craniotomy significantly affected the TT-BD. The mean TT-BDs were 13.9 and 8.2 days in the PWIBDs with and without SMs, respectively, and 9.8 and 8.0 days in the PWIBDs with and without craniotomy, respectively. Conclusions The SMs in PWIBDs and a craniotomy performed immediately before starting the process of determining brain death seem to be related to lengthening the TT-BD.
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