Prevalence and factors associated with the diagnosis of brain death

Detalhes bibliográficos
Autor(a) principal: Moura, Kércia Dantas Oliveira de
Data de Publicação: 2021
Outros Autores: Fernandes, Flávia Emília Cavalcante Valença, Lira, Gerlene Grudka, Fonseca, Emily Oliveira Duarte, Melo, Rosana Alves de
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Enfermagem da Universidade Federal de Santa Maria
Texto Completo: http://periodicos.ufsm.br/reufsm/article/view/53157
Resumo: Objective: to evaluate the prevalence of brain death and its associated factors. Method: cross-sectional study with data from the records of neurocritical patients and potential organ donors between 2018 and 2019, being analyzed by descriptive statistics and multivariate multinomial logistic regression. Results: the prevalence of brain death in followed-up patients was 46.6%, predominantly men, adults, with traumatic brain injury (44.3%) as cause of death. Factors associated with brain death were: Glasgow Coma Scale score (RRR=0.30; p=0.001), vasoactive drug use (RRR=7.55; p=0.000) and Hemorrhagic and Ischemic stroke (RRR=2.14; p=0.031). Conclusion: there was a high prevalence of brain death. The use of vasoactive drugs, the Glasgow Coma Scale score and the diagnoses of Hemorrhagic and Ischemic stroke were associated with the evolution to the condition.
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spelling Prevalence and factors associated with the diagnosis of brain deathPrevalência e fatores associados ao diagnóstico de morte encefálicaBrain DeathCritical CareGlasgow Coma ScaleNeurologyTissue and Organ ProcurementMorte encefálicaCuidados críticosEscala de coma de GlasgowNeurologiaObtenção de tecidos e órgãosObjective: to evaluate the prevalence of brain death and its associated factors. Method: cross-sectional study with data from the records of neurocritical patients and potential organ donors between 2018 and 2019, being analyzed by descriptive statistics and multivariate multinomial logistic regression. Results: the prevalence of brain death in followed-up patients was 46.6%, predominantly men, adults, with traumatic brain injury (44.3%) as cause of death. Factors associated with brain death were: Glasgow Coma Scale score (RRR=0.30; p=0.001), vasoactive drug use (RRR=7.55; p=0.000) and Hemorrhagic and Ischemic stroke (RRR=2.14; p=0.031). Conclusion: there was a high prevalence of brain death. The use of vasoactive drugs, the Glasgow Coma Scale score and the diagnoses of Hemorrhagic and Ischemic stroke were associated with the evolution to the condition.Objetivo: avaliar a prevalência de morte encefálica e os fatores associados. Método: estudo transversal com dados dos registros de pacientes neurocríticos e potenciais doadores de órgãos entre 2018 e 2019, sendo analisados por meio de estatística descritiva e regressão logística multinomial multivariada. Resultados: a prevalência de morte encefálica nos pacientes acompanhados foi de 46,6%, predominando homens, adultos, com Traumatismo Cranioencefálico (44,3%) como causa da morte. Os fatores associados à morte encefálica foram: score da Escala de Coma de Glasgow (RRR=0,30; p=0,001), uso de droga vasoativa (RRR=7,55; p=0,000) e Acidente Vascular Cerebral Hemorrágico e Isquêmico (RRR=2,14; p=0,031). Conclusão: houve uma alta prevalência de morte encefálica. O uso de droga vasoativa, o score da Escala de Coma de Glasgow e os diagnósticos de Acidente Vascular Cerebral Hemorrágico e Isquêmico mostraram-se associados à evolução para o quadro.Universidade Federal de Santa Maria2021-05-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/htmltext/htmlhttp://periodicos.ufsm.br/reufsm/article/view/5315710.5902/2179769253157Revista de Enfermagem da UFSM; v. 11 (2021); e392179-7692reponame:Revista de Enfermagem da Universidade Federal de Santa Mariainstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMporenghttp://periodicos.ufsm.br/reufsm/article/view/53157/pdfhttp://periodicos.ufsm.br/reufsm/article/view/53157/pdf_1http://periodicos.ufsm.br/reufsm/article/view/53157/htmlhttp://periodicos.ufsm.br/reufsm/article/view/53157/html_1Copyright (c) 2021 Revista de Enfermagem da UFSMinfo:eu-repo/semantics/openAccessMoura, Kércia Dantas Oliveira deFernandes, Flávia Emília Cavalcante ValençaLira, Gerlene GrudkaFonseca, Emily Oliveira DuarteMelo, Rosana Alves de2021-12-02T12:44:42Zoai:ojs.pkp.sfu.ca:article/53157Revistahttps://periodicos.ufsm.br/reufsmPUBhttp://cascavel.ufsm.br/revistas/ojs-2.2.2/index.php/reufsm/oaicentraldeperiodicos@ufsm.br||reufsm@gmail.com2179-76922179-7692opendoar:2021-12-02T12:44:42Revista de Enfermagem da Universidade Federal de Santa Maria - Universidade Federal de Santa Maria (UFSM)false
dc.title.none.fl_str_mv Prevalence and factors associated with the diagnosis of brain death
Prevalência e fatores associados ao diagnóstico de morte encefálica
title Prevalence and factors associated with the diagnosis of brain death
spellingShingle Prevalence and factors associated with the diagnosis of brain death
Moura, Kércia Dantas Oliveira de
Brain Death
Critical Care
Glasgow Coma Scale
Neurology
Tissue and Organ Procurement
Morte encefálica
Cuidados críticos
Escala de coma de Glasgow
Neurologia
Obtenção de tecidos e órgãos
title_short Prevalence and factors associated with the diagnosis of brain death
title_full Prevalence and factors associated with the diagnosis of brain death
title_fullStr Prevalence and factors associated with the diagnosis of brain death
title_full_unstemmed Prevalence and factors associated with the diagnosis of brain death
title_sort Prevalence and factors associated with the diagnosis of brain death
author Moura, Kércia Dantas Oliveira de
author_facet Moura, Kércia Dantas Oliveira de
Fernandes, Flávia Emília Cavalcante Valença
Lira, Gerlene Grudka
Fonseca, Emily Oliveira Duarte
Melo, Rosana Alves de
author_role author
author2 Fernandes, Flávia Emília Cavalcante Valença
Lira, Gerlene Grudka
Fonseca, Emily Oliveira Duarte
Melo, Rosana Alves de
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Moura, Kércia Dantas Oliveira de
Fernandes, Flávia Emília Cavalcante Valença
Lira, Gerlene Grudka
Fonseca, Emily Oliveira Duarte
Melo, Rosana Alves de
dc.subject.por.fl_str_mv Brain Death
Critical Care
Glasgow Coma Scale
Neurology
Tissue and Organ Procurement
Morte encefálica
Cuidados críticos
Escala de coma de Glasgow
Neurologia
Obtenção de tecidos e órgãos
topic Brain Death
Critical Care
Glasgow Coma Scale
Neurology
Tissue and Organ Procurement
Morte encefálica
Cuidados críticos
Escala de coma de Glasgow
Neurologia
Obtenção de tecidos e órgãos
description Objective: to evaluate the prevalence of brain death and its associated factors. Method: cross-sectional study with data from the records of neurocritical patients and potential organ donors between 2018 and 2019, being analyzed by descriptive statistics and multivariate multinomial logistic regression. Results: the prevalence of brain death in followed-up patients was 46.6%, predominantly men, adults, with traumatic brain injury (44.3%) as cause of death. Factors associated with brain death were: Glasgow Coma Scale score (RRR=0.30; p=0.001), vasoactive drug use (RRR=7.55; p=0.000) and Hemorrhagic and Ischemic stroke (RRR=2.14; p=0.031). Conclusion: there was a high prevalence of brain death. The use of vasoactive drugs, the Glasgow Coma Scale score and the diagnoses of Hemorrhagic and Ischemic stroke were associated with the evolution to the condition.
publishDate 2021
dc.date.none.fl_str_mv 2021-05-06
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://periodicos.ufsm.br/reufsm/article/view/53157
10.5902/2179769253157
url http://periodicos.ufsm.br/reufsm/article/view/53157
identifier_str_mv 10.5902/2179769253157
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv http://periodicos.ufsm.br/reufsm/article/view/53157/pdf
http://periodicos.ufsm.br/reufsm/article/view/53157/pdf_1
http://periodicos.ufsm.br/reufsm/article/view/53157/html
http://periodicos.ufsm.br/reufsm/article/view/53157/html_1
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista de Enfermagem da UFSM
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista de Enfermagem da UFSM
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
text/html
text/html
dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
publisher.none.fl_str_mv Universidade Federal de Santa Maria
dc.source.none.fl_str_mv Revista de Enfermagem da UFSM; v. 11 (2021); e39
2179-7692
reponame:Revista de Enfermagem da Universidade Federal de Santa Maria
instname:Universidade Federal de Santa Maria (UFSM)
instacron:UFSM
instname_str Universidade Federal de Santa Maria (UFSM)
instacron_str UFSM
institution UFSM
reponame_str Revista de Enfermagem da Universidade Federal de Santa Maria
collection Revista de Enfermagem da Universidade Federal de Santa Maria
repository.name.fl_str_mv Revista de Enfermagem da Universidade Federal de Santa Maria - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv centraldeperiodicos@ufsm.br||reufsm@gmail.com
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