Brain death and postmortem organ donation: report of a questionnaire from the CENTER-TBI study

Ernest van Veen; Mathieu van der Jagt; Maryse C Cnossen; Andrew I R Maas; Inez D de Beaufort; David K Menon; Giuseppe Citerio; Nino Stocchetti; Wim J R Rietdijk; Jeroen T J M van Dijck; Erwin J O Kompanje; CENTER-TBI Participants and Investigators

doi:10.1186/s13054-018-2241-4

Brain death and postmortem organ donation: report of a questionnaire from the CENTER-TBI study

Standard

Brain death and postmortem organ donation: report of a questionnaire from the CENTER-TBI study. / van Veen, Ernest; van der Jagt, Mathieu; Cnossen, Maryse C; Maas, Andrew I R; de Beaufort, Inez D; Menon, David K; Citerio, Giuseppe; Stocchetti, Nino; Rietdijk, Wim J R; van Dijck, Jeroen T J M; Kompanje, Erwin J O; CENTER-TBI Participants and Investigators.

In: CRIT CARE, Vol. 22, No. 1, 16.11.2018, p. 306.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

van Veen, E, van der Jagt, M, Cnossen, MC, Maas, AIR, de Beaufort, ID, Menon, DK, Citerio, G, Stocchetti, N, Rietdijk, WJR, van Dijck, JTJM, Kompanje, EJO & CENTER-TBI Participants and Investigators 2018, 'Brain death and postmortem organ donation: report of a questionnaire from the CENTER-TBI study', CRIT CARE, vol. 22, no. 1, pp. 306. https://doi.org/10.1186/s13054-018-2241-4

APA

van Veen, E., van der Jagt, M., Cnossen, M. C., Maas, A. I. R., de Beaufort, I. D., Menon, D. K., Citerio, G., Stocchetti, N., Rietdijk, W. J. R., van Dijck, J. T. J. M., Kompanje, E. J. O., & CENTER-TBI Participants and Investigators (2018). Brain death and postmortem organ donation: report of a questionnaire from the CENTER-TBI study. CRIT CARE, 22(1), 306. https://doi.org/10.1186/s13054-018-2241-4

Vancouver

van Veen E, van der Jagt M, Cnossen MC, Maas AIR, de Beaufort ID, Menon DK et al. Brain death and postmortem organ donation: report of a questionnaire from the CENTER-TBI study. CRIT CARE. 2018 Nov 16;22(1):306. https://doi.org/10.1186/s13054-018-2241-4

Bibtex

@article{9fe6ce50a1f9416ab80e50d83eb2bea8,

title = "Brain death and postmortem organ donation: report of a questionnaire from the CENTER-TBI study",

abstract = "BACKGROUND: We aimed to investigate the extent of the agreement on practices around brain death and postmortem organ donation.METHODS: Investigators from 67 Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study centers completed several questionnaires (response rate: 99%).RESULTS: Regarding practices around brain death, we found agreement on the clinical evaluation (prerequisites and neurological assessment) for brain death determination (BDD) in 100% of the centers. However, ancillary tests were required for BDD in 64% of the centers. BDD for nondonor patients was deemed mandatory in 18% of the centers before withdrawing life-sustaining measures (LSM). Also, practices around postmortem organ donation varied. Organ donation after circulatory arrest was forbidden in 45% of the centers. When withdrawal of LSM was contemplated, in 67% of centers the patients with a ventricular drain in situ had this removed, either sometimes or all of the time.CONCLUSIONS: This study showed both agreement and some regional differences regarding practices around brain death and postmortem organ donation. We hope our results help quantify and understand potential differences, and provide impetus for current dialogs toward further harmonization of practices around brain death and postmortem organ donation.",

keywords = "Journal Article, Research Support, Non-U.S. Gov't",

author = "{van Veen}, Ernest and {van der Jagt}, Mathieu and Cnossen, {Maryse C} and Maas, {Andrew I R} and {de Beaufort}, {Inez D} and Menon, {David K} and Giuseppe Citerio and Nino Stocchetti and Rietdijk, {Wim J R} and {van Dijck}, {Jeroen T J M} and Kompanje, {Erwin J O} and {CENTER-TBI Participants and Investigators} and Monika Bullinger",

year = "2018",

month = nov,

day = "16",

doi = "10.1186/s13054-018-2241-4",

language = "English",

volume = "22",

pages = "306",

journal = "CRIT CARE",

issn = "1364-8535",

publisher = "Springer Science + Business Media",

number = "1",

}

RIS

TY - JOUR

T1 - Brain death and postmortem organ donation: report of a questionnaire from the CENTER-TBI study

AU - van Veen, Ernest

AU - van der Jagt, Mathieu

AU - Cnossen, Maryse C

AU - Maas, Andrew I R

AU - de Beaufort, Inez D

AU - Menon, David K

AU - Citerio, Giuseppe

AU - Stocchetti, Nino

AU - Rietdijk, Wim J R

AU - van Dijck, Jeroen T J M

AU - Kompanje, Erwin J O

AU - CENTER-TBI Participants and Investigators

AU - Bullinger, Monika

PY - 2018/11/16

Y1 - 2018/11/16

N2 - BACKGROUND: We aimed to investigate the extent of the agreement on practices around brain death and postmortem organ donation.METHODS: Investigators from 67 Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study centers completed several questionnaires (response rate: 99%).RESULTS: Regarding practices around brain death, we found agreement on the clinical evaluation (prerequisites and neurological assessment) for brain death determination (BDD) in 100% of the centers. However, ancillary tests were required for BDD in 64% of the centers. BDD for nondonor patients was deemed mandatory in 18% of the centers before withdrawing life-sustaining measures (LSM). Also, practices around postmortem organ donation varied. Organ donation after circulatory arrest was forbidden in 45% of the centers. When withdrawal of LSM was contemplated, in 67% of centers the patients with a ventricular drain in situ had this removed, either sometimes or all of the time.CONCLUSIONS: This study showed both agreement and some regional differences regarding practices around brain death and postmortem organ donation. We hope our results help quantify and understand potential differences, and provide impetus for current dialogs toward further harmonization of practices around brain death and postmortem organ donation.

AB - BACKGROUND: We aimed to investigate the extent of the agreement on practices around brain death and postmortem organ donation.METHODS: Investigators from 67 Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study centers completed several questionnaires (response rate: 99%).RESULTS: Regarding practices around brain death, we found agreement on the clinical evaluation (prerequisites and neurological assessment) for brain death determination (BDD) in 100% of the centers. However, ancillary tests were required for BDD in 64% of the centers. BDD for nondonor patients was deemed mandatory in 18% of the centers before withdrawing life-sustaining measures (LSM). Also, practices around postmortem organ donation varied. Organ donation after circulatory arrest was forbidden in 45% of the centers. When withdrawal of LSM was contemplated, in 67% of centers the patients with a ventricular drain in situ had this removed, either sometimes or all of the time.CONCLUSIONS: This study showed both agreement and some regional differences regarding practices around brain death and postmortem organ donation. We hope our results help quantify and understand potential differences, and provide impetus for current dialogs toward further harmonization of practices around brain death and postmortem organ donation.

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1186/s13054-018-2241-4

DO - 10.1186/s13054-018-2241-4

M3 - SCORING: Journal article

C2 - 30446017

VL - 22

SP - 306

JO - CRIT CARE

JF - CRIT CARE

SN - 1364-8535

IS - 1

ER -