Prevalence and factors associated with the diagnosis of brain death
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Enfermagem da Universidade Federal de Santa Maria |
DOI: | 10.5902/2179769253157 |
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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Revista de Enfermagem da Universidade Federal de Santa Maria |
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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 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 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 Prevalence and factors associated with the diagnosis of brain death |
title_full_unstemmed |
Prevalence and factors associated with the diagnosis of brain death 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 Moura, Kércia Dantas Oliveira de Fernandes, Flávia Emília Cavalcante Valença Lira, Gerlene Grudka Fonseca, Emily Oliveira Duarte Melo, Rosana Alves 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 |
_version_ |
1822181549432373248 |
dc.identifier.doi.none.fl_str_mv |
10.5902/2179769253157 |