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Study of Brain Death and Organ Donation in West Azerbaijan Province (2004-2010)
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Majid Hajyhosseinloo   , Ali Eftekhari , Sakineh Gorbani , Abas Zarei |
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Abstract: (13196 Views) |
| Background: Brain death is an irreversible cessation of all brain activities and brain stem simultaneously, and must comply with clinical and paraclinical characteristics that may be resulted from severe head trauma, brain hemorrhage, stroke or prolonged brain anoxia. This study reviews the demographic donor members besides, a comparative evaluation of clinical and paraclinical findings in guideline of American Academy of Neurology, conducted on brain death.
Methods: This is a descriptive cross - sectional study. All cases of brain death that had been agreed to award their organs from 2004 to 2010 were studied. Questionnaire included two parts, demographic information and questions assessed parameters recommended guideline by the American Academy of Neurology. In Order to determine compliance with the parameters, descriptive statistics and graphs were used.
Findings: Approximately, 77% of cases were +18 and 23% were -18. The cause of brain death was car accident in 61% of cases, 13% cerebrovascular accident, 13% gun shot, 5% falling and others were electric shock or tumor of cerebellum. All cases were on coma mode and no motor response to painful stimuli was detected. In all cases there were no brain stem reflexes. All had brain CT and the basic body temperature was above 32ºC. In all cases EEG had been performed twice. Organs donated were liver and kidney in 67% of cases and in 33% was kidney only.
Conclusion: In the comparative study between brain death and organ transplant evaluation process in Guideline of American Academy of Neurology, non tremendous difference was found. Most transplanted organs were kidney and liver. Because there are about 50 organs or tissues in a person could be donated and low rate of organs donation in the country, efficient use of organ transplant must be considered and it should not be limited to one or two organs. The growing organ donation is a positive sign and promotion of public culture is effective for it. |
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| Keywords: Keyword: Brain Death, Organ Donation, Organ Transplantation |
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Type of Article: Research Article |
Subject:
Forensic Medicine
Received: 2013/10/9 | Accepted: 2013/12/29 | ePublished: 2013/12/29
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