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Amaç: Bu çalışmada beyin ölümü tanılı hastaların özellikleri, organ bağışı oranları ve uygulanan donör bakımının irdelenmesi amaçlanmıştır. Materyal ve Metot: 2013-2020 yılları arasında hastanemizde beyin ölümü tanısı alan hastaların dosyaları taranarak yaş, cinsiyet, yandaş hastalıkları, yatış tanısı, yatış zamanı, beyin ölümü zamanı, tanı testi yöntemleri, organ bağış oranı, nakledilen organların sayıları, donör bakımında uygulanan tedaviler ve kardiyak arrest süresi gibi veriler kaydedildi. Bulgular: Çalışmamızda 41 hastada beyin ölümü tanısı konulurken 6 (%14,6) hastada organ bağışına onay saptandı. Beyin ölümüne en sık yol açan nedenler travmatik beyin hasarı (n=17) ve serebrovasküler olay (n=17) idi. Hastaların yaş ortalamaları 46,73 ± 23,5 (6-80) iken bunların 6’sı çocuk, 21’i yetişkin ve 14’ü yaşlı hasta idi. Hastaların 12’si (%29,3) kadın, 29’u (%70,7) erkekti. Organ bağışı izni verilmeyen 35 hastada ortalama kardiyak arrest süresi 47,17 ± 38,8 (1-167) saat saptandı. Donör bakımında düşük doz dopamin infüzyonu (4 µg/kg/dk), metilprednizolon infüzyonu ve levotiroksin uygulandığı saptandı. Sonuç: Kadavradan organ transplantasyonu için beyin ölümü tanısının konulması önem arz etmektedir. Nörolojik prognozu kötü hastalar beyin ölümü ve potansiyel donör olmaları açısından yakın takip edilmelidir. Organ bağışını arttırmak için eğitimli ve deneyimli organ nakil koordinatörlerine ihtiyaç vardır. Nakledilen organların sayısını ve kalitesini arttırmak için güncel literatüre uygun donör bakımı protokolleri oluşturulmalıdır.
Objective: The aim of this study was to examine the characteristics of patients with brain death, organ donation rates and donor care. Materials and Methods: By scanning the files of patients diagnosed with brain death between 2013 and 2020 in our hospital, the data including the patients' age, gender, comorbidities, hospitalization diagnosis, hospitalization time, brain death time, diagnostic test methods, organ donation rate, number of transplanted organs, treatments related donor care, and cardiac arrest period were recorded. Results: In our study, 41 patients were diagnosed with brain death, while 6 (14.6%) patients were approved for organ donation. The most common causes of brain death were traumatic brain injury (n = 17) and cerebrovascular accident (n = 17). While the average age of the patients was 46.73 ± 23.5 (6-80), 6 of them were children, 21 were adults and 14 were elderly patients. Twelve (29.3%) of the patients were female and 29 (70.7%) were male. The average duration of heart arrest was found to be 47.17 ± 38.8 (1-167) hours in 35 patients who were not allowed to organ donation. Low-dose dopamine infusion (4 μg / kg / min), methylprednisolone infusion and levothyroxine were used in donor care. Conclusion: It is important to diagnose brain death for organ transplantation from the body. Patients with poor neurological prognosis should be closely followed in terms of brain death and potential donors. Trained and experienced organ transplant coordinators are needed to increase organ donation. In order to increase the number and quality of transplanted organs, donor care protocols in accordance with the current literature should be established.
Objective: The aim of this study was to examine the characteristics of patients with brain death, organ donation rates and donor care. Materials and Methods: By scanning the files of patients diagnosed with brain death between 2013 and 2020 in our hospital, the data including the patients’ age, gender, comorbidities, hospitalization diagnosis, hospitalization time, brain death time, diagnostic test methods, organ donation rate, number of transplanted organs, treatments related donor care, and cardiac arrest period were recorded. Results: In our study, 41 patients were diagnosed with brain death, while 6 (14.6%) patients were approved for organ donation. The most common causes of brain death were traumatic brain injury (n = 17) and cerebrovascular accident (n = 17). While the mean age of the patients was 46.73 ± 23.5 (6-80), 6 of them were children, 21 were adults and 14 were elderly patients. Twelve (29.3%) of the patients were female and 29 (70.7%) were male. The mean duration of cardiac arrest was found to be 47.17 ± 38.8 (1-167) hours in 35 patients who were not allowed to organ donation. Low-dose dopamine infusion (4 µg / kg / min), methylprednisolone infusion and levothyroxine were used in donor care. Conclusion: It is important to diagnose brain death for organ transplantation from cadaver. Patients with poor neurological prognosis should be closely followed in terms of brain death and potential donors. Trained and experienced organ transplant coordinators are needed to increase organ donation. In order to increase the number and quality of transplanted organs, donor care protocols in accordance with the current literature should be established.
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