Clinical-imaging characterization of brain death at Abel Santamaría Cuadrado General Teaching Hospital, 2014 – 2015
Keywords:
Brain death, Tissue and organ procurement, Organ trasplantation.Abstract
Introduction: brain death is an undesirable result in medicine field, but it has beneficial effects. Dead patients with this criterion are the most common source of organs, one of the most important clues of organ transplantation program.
Objective: to characterize brain death from the clinical and radiological point of view in the Intensive Care Units of Abel Santamaria Cuadrado general-teaching hospital (January 2014-December 2015).
Methods: a descriptive, prospective and cross-sectional study was conducted at Abel Santamaria Cuadrado general teaching hospital with patients admitted to the Intensive Care Units having the diagnosis of brain death (January 2014-December 2015). Data were collected from the clinical records. The target group comprised 175 deceased patients having central nervous system damage, the sample included 36 patients.
Results: the age bracket of 39-59 (41.67%), male gender (66.67%), and Caucasian race (61.11%) predominated. Hemorrhagic stroke (77.78%) was the most frequent cause of brain death, subarachnoid hemorrhage (39.29%). Effacement of the base cisternae (100%), and brain edema (100%) were the secondary lesions with the highest tomography registrations; 61% developed brain death in the first 24 hours, isolated systolic spike was the most reported echographic pattern through transcranial Doppler.
Conclusions: knowledge of how the elements characterizing brain death behave is vital for the early identification of potential donors, providing good quality organs for the transplantation programs.
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References
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