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02 May 2023: Original Paper

The Incidence of Brain-Dead Donors Based on Screening and Management Led by Intensivists

Hyo Jin Lee 1ABCDEFG , Seung Bin Kim 2ABF , Hyun Woo Lee 1ABF , Jung-Kyu Lee 1ABF , Yong Won Seong 3ABF , Eun Young Heo 1ABF , Deog Kyeom Kim 14ABF , Tae Yun Park 1ABCDEFG*

DOI: 10.12659/AOT.939521

Ann Transplant 2023; 28:e939521

Table 2 Clinical features of pre-introduction and post-introduction groups.

Total (N=79)Pre-introduction (n=20)Post-introduction (n=59)P-value
35 (44.3)13 (37.1)22 (62.9)0.031
0.724
 Emergency  Department75 (94.9)19 (95)56 (94.9)
 Coronary Care Unit1 (1.3)0 (0)1 (1.7)
 General Ward1 (1.3)0 (0)1 (1.7)
0.966
 Medical Intensive Care Unit24 (30.4)6 (30)18 (30.5)
 Surgical Intensive Care Unit55 (69.6)14 (70)41 (69.5)
0.888
 Internal medicine22 (27.8)6 (30)16 (27.1)
 Neurology2 (2.5)1 (5)1 (1.7)
 Neurosurgery48 (60.8)12 (60)36 (61)
 General Surgery1 (1.3)0 (0)1 (1.7)
 Thoracic and Cardiovascular Surgery2 (2.5)0 (0)2 (3.4)
 Others4 (5.1)1 (5)3 (5.1)
 Cerebrovascular ischemia7 (8.9)3 (15)4 (6.8)0.264
 Intracranial tumor1 (1.3)0 (0)1 (1.7)0.558
 Cerebral hemorrhage48 (61.5)9 (45)39 (67.2)0.212
  ICH19 (39.6)4 (21.1)15 (25.9)
  SAH10 (39.6)2 (10.5)17 (29.3)
  SDH10 (20.8)3 (30)7 (12.1)
 Hanging7 (8.9)2 (10)5 (8.5)0.836
 Cardiac arrest21 (26.6)6 (30)15 (25.4)0.689
 Stroke1 (1.3)0 (0)1 (1.7)0.558
 Drug intoxication2 (2.5)1 (5)1 (1.7)0.416
 Others5 (6.3)1 (5)4 (6.8)0.778
POLST4 (11.8)2 (15.4)2 (9.5)0.606
23.13±0.9527.01±2.7721.88±0.830.090
49.87±1.7846.11±4.2151.02±1.930.246
9.36±0.79.63±0.729.27±0.890.826
 1 day2207.68±156.461811.68±261.412339.68±187.480.145
 2 day3480.68±921.633133.68±634.732477.26±189.880.333
 Vasopressin17 (22.4)4 (21.1)13 (22.8)0.874
 Norepinephrine52 (68.4)11 (57.9)41 (71.9)0.254
 Epinephrine5 (6.6)1 (5.3)4 (7)0.789
 Dobutamine1 (1.3)0 (0)1 (1.8)0.561
 Dopamine5 (6.6)5 (26.3)0 (0)
25 (32.9)8 (42.1)17 (29.8)0.324
26 (34.2)7 (36.8)19 (33.3)0.780
10 (13.2)2 (10.5)8 (14)0.695
13.62±1.639.05±1.8515.17±2.060.103
Data presented as n (%) or median (SE). APACHE II – Acute Physiology And Chronic Health Evaluation; SAPS – simplified acute physiology score; SOFA – Sequential Organ Failure Assessment; ICH – intracerebral hemorrhage; SAH – subarachnoid hemorrhage; SDH – subdural hematoma; POLST – physician orders for life-sustaining treatment.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358