Featured Research

from universities, journals, and other organizations

Second brain death exam may be unnecessary, hurt organ donation rates

Date:
December 15, 2010
Source:
American Academy of Neurology
Summary:
Requiring a second exam on a person who is considered brain dead may be unnecessary, according to a new study on the impact of a second brain death exam on organ donation rates.

Requiring a second exam on a person who is considered brain dead may be unnecessary, according to a study on the impact of a second brain death exam on organ donation rates. The research is published in the December 15, 2010, online issue of Neurology®, the medical journal of the American Academy of Neurology.

Related Articles


For the study, scientists reviewed the cases of 1,229 adults and 82 children ages one and older pronounced brain dead. The information was taken from the New York Organ Donor Network database during a 19-month period.

"One of the most disturbing findings of our study is the prolonged anguish imposed on grieving families in the intensive care unit waiting for the second brain death exam," said study author Dana Lustbader, MD, FCCM, FCCP, with The North Shore LIJ Health System in Manhasset, New York. "Not only is the opportunity for organ donation reduced, but families may endure unnecessary suffering while waiting an average of 19 hours for the second exam to be completed."

"Since organ viability decreases the longer a person is brain dead, our results show that conducting more than one brain death examination results in the loss of potentially life-saving organs," reports Lustbader. "A repeat exam adds an extra day of intensive care resulting in additional costs of about a million dollars per year in the New York region alone."

The study found that none of the people declared brain dead in the first exam were found to have restored brain stem function in the second exam.

Lustbader noted that 166 people, or 12 percent, sustained a cardiac arrest while awaiting a second exam or after the second exam, making them ineligible for organ donation.

The average time between the two exams in the study was 19 hours, three times longer than recommended by the New York State Health Department. As the time between exams increased, consent for organ donation decreased from 57 percent to 45 percent. In addition, refusal of organ donation increased from 23 percent to 36 percent as the time between exams increased.

In New York, the State Department of Health's 2005 brain death guidelines require a breathing test and two clinical brain death exams, carried out six hours apart. In 2010, the American Academy of Neurology updated its brain death guidelines, which now call for only one brain death examination.

"These findings illustrate why there's a crucial need to standardize approaches for determining brain death," said Gene Sung, MD, MPH, of the University of Southern California in Los Angeles and a member of the American Academy of Neurology, who wrote an editorial regarding the article that is published in Neurology.

To read the American Academy of Neurology's updated guidelines on brain death, visit

http://www.neurology.org/content/74/23/1911.full.pdf+html

.


Story Source:

The above story is based on materials provided by American Academy of Neurology. Note: Materials may be edited for content and length.


Cite This Page:

American Academy of Neurology. "Second brain death exam may be unnecessary, hurt organ donation rates." ScienceDaily. ScienceDaily, 15 December 2010. <www.sciencedaily.com/releases/2010/12/101215163735.htm>.
American Academy of Neurology. (2010, December 15). Second brain death exam may be unnecessary, hurt organ donation rates. ScienceDaily. Retrieved October 25, 2014 from www.sciencedaily.com/releases/2010/12/101215163735.htm
American Academy of Neurology. "Second brain death exam may be unnecessary, hurt organ donation rates." ScienceDaily. www.sciencedaily.com/releases/2010/12/101215163735.htm (accessed October 25, 2014).

Share This



More Health & Medicine News

Saturday, October 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

IKEA Desk Converts From Standing to Sitting With One Button

IKEA Desk Converts From Standing to Sitting With One Button

Buzz60 (Oct. 24, 2014) — IKEA is out with a new convertible desk that can convert from a sitting desk to a standing one with just the push of a button. Jen Markham explains. Video provided by Buzz60
Powered by NewsLook.com
Ebola Protective Suits Being Made in China

Ebola Protective Suits Being Made in China

AFP (Oct. 24, 2014) — A factory in China is busy making Ebola protective suits for healthcare workers and others fighting the spread of the virus. Duration: 00:38 Video provided by AFP
Powered by NewsLook.com
WHO: Millions of Ebola Vaccine Doses by 2015

WHO: Millions of Ebola Vaccine Doses by 2015

AP (Oct. 24, 2014) — The World Health Organization said on Friday that millions of doses of two experimental Ebola vaccines could be ready for use in 2015 and five more experimental vaccines would start being tested in March. (Oct. 24) Video provided by AP
Powered by NewsLook.com
Doctor in NYC Quarantined With Ebola

Doctor in NYC Quarantined With Ebola

AP (Oct. 24, 2014) — An emergency room doctor who recently returned to the city after treating Ebola patients in West Africa has tested positive for the virus. He's quarantined in a hospital. (Oct. 24) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins