Brain death: medical management in seven Brazilian pediatric intensive care units

Detalhes bibliográficos
Autor(a) principal: Lago, Patrícia M.
Data de Publicação: 2007
Outros Autores: Piva, Jefferson, Garcia, Pedro Celiny, Troster, Eduardo, Bousso, Albert, Sarno, Maria Olivia, Torreão, Lara de Araújo, Sapolnik, Roberto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/15940
Resumo: p. 133-140
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spelling Lago, Patrícia M.Piva, JeffersonGarcia, Pedro CelinyTroster, EduardoBousso, AlbertSarno, Maria OliviaTorreão, Lara de AraújoSapolnik, Roberto2014-09-09T15:36:38Z2014-09-09T15:36:38Z20070021-7557http://repositorio.ufba.br/ri/handle/ri/15940v. 83, n. 2p. 133-140Objective: To assess the incidence of brain death (BD) and its medical management and adopted protocols after its diagnosis in seven pediatric intensive care units (PICUs) located in three Brazilian regions. Methods: A cross-sectional and multicenter study was conducted, based on the retrospective review of medical records regarding all deaths that occurred between January 2003 and December 2004 in seven Brazilian PICUs of tertiary hospitals located in Porto Alegre (two), São Paulo (two) and Salvador (three). Two pediatric intensive care residents from each hospital were previously trained and filled out a standard protocol for the investigation of demographic data, cause of death, diagnosis of BD, related protocols and subsequent medical management. Results: A total of 525 death patients were identified and 61 (11.6%) were defined as BD. The incidence of BD was different (p = 0.015) across the seven PICUs, but with no difference across the three regions. Intracranial hemorrhage was the most frequent cause of BD (31.1%). In 80% of the cases the diagnosis of BD was confirmed by complementary exams (south = 100%, southeast = 68% and northeast = 72%; p = 0.02). The interval between the diagnosis of BD and the withdrawal of life support was different (p < 0.01) across the three regions, being faster (p = 0.04) in the south (1.8±1.9 h) than in the southeast (28.6±43.2 h) and than in the northeast (15.5±17.1 h). Only six (9.8%) children with BD were organ donors. Conclusion: Although a Brazilian law defining the criteria for the determination of BD has been in place since 1997, we verified that it is not followed as strictly as it should be. Consequently, unnecessary life support is offered to deceased individuals, and there is a discrete involvement of PICUs in organ donation.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2014-03-10T13:49:24Z No. of bitstreams: 1 10.2223JPED.1594.pdf: 138399 bytes, checksum: e9a50e792052085c3433896f7a94b1a9 (MD5)Approved for entry into archive by Rodrigo Meirelles (rodrigomei@ufba.br) on 2014-09-09T15:36:38Z (GMT) No. of bitstreams: 1 10.2223JPED.1594.pdf: 138399 bytes, checksum: e9a50e792052085c3433896f7a94b1a9 (MD5)Made available in DSpace on 2014-09-09T15:36:38Z (GMT). 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dc.title.pt_BR.fl_str_mv Brain death: medical management in seven Brazilian pediatric intensive care units
dc.title.alternative.pt_BR.fl_str_mv Jornal de Pediatria
title Brain death: medical management in seven Brazilian pediatric intensive care units
spellingShingle Brain death: medical management in seven Brazilian pediatric intensive care units
Lago, Patrícia M.
title_short Brain death: medical management in seven Brazilian pediatric intensive care units
title_full Brain death: medical management in seven Brazilian pediatric intensive care units
title_fullStr Brain death: medical management in seven Brazilian pediatric intensive care units
title_full_unstemmed Brain death: medical management in seven Brazilian pediatric intensive care units
title_sort Brain death: medical management in seven Brazilian pediatric intensive care units
author Lago, Patrícia M.
author_facet Lago, Patrícia M.
Piva, Jefferson
Garcia, Pedro Celiny
Troster, Eduardo
Bousso, Albert
Sarno, Maria Olivia
Torreão, Lara de Araújo
Sapolnik, Roberto
author_role author
author2 Piva, Jefferson
Garcia, Pedro Celiny
Troster, Eduardo
Bousso, Albert
Sarno, Maria Olivia
Torreão, Lara de Araújo
Sapolnik, Roberto
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Lago, Patrícia M.
Piva, Jefferson
Garcia, Pedro Celiny
Troster, Eduardo
Bousso, Albert
Sarno, Maria Olivia
Torreão, Lara de Araújo
Sapolnik, Roberto
description p. 133-140
publishDate 2007
dc.date.issued.fl_str_mv 2007
dc.date.accessioned.fl_str_mv 2014-09-09T15:36:38Z
dc.date.available.fl_str_mv 2014-09-09T15:36:38Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/15940
dc.identifier.issn.none.fl_str_mv 0021-7557
dc.identifier.number.pt_BR.fl_str_mv v. 83, n. 2
identifier_str_mv 0021-7557
v. 83, n. 2
url http://repositorio.ufba.br/ri/handle/ri/15940
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.country.fl_str_mv Brasil
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