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Related Experiment Videos

Brain stem death and organ donation.

A Bodenham1, J C Berridge, G R Park

  • 1Department of Anaesthesia, Addenbrooke's Hospital, Cambridge.

BMJ (Clinical Research Ed.)
|October 21, 1989
PubMed
Summary

Required request legislation may not significantly boost organ donation in the UK. Studies show medical unsuitability and coroner involvement are bigger barriers than consent in organ donation.

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Area of Science:

  • Medical research
  • Transplantation science

Background:

  • Organ donation is critically low in the United Kingdom.
  • Concerns exist regarding consent procedures for potential donors.
  • Proposed legislation for "required request" aims to increase organ supply.

Purpose of the Study:

  • To investigate the incidence, causes, and patterns of organ donation in brain stem dead patients.
  • To evaluate the effectiveness of current consent practices.
  • To assess the potential impact of "required request" legislation.

Main Methods:

  • Retrospective study over 12 months at a referral center.
  • Data collection on patients meeting criteria for brain stem death or circulatory arrest.
  • Analysis of reasons for organ donation and non-donation.

Main Results:

  • 42 patients met brain stem death criteria; 10 had circulatory arrest.
  • Head injury and intracranial hemorrhage were primary causes of brain stem death.
  • 23 of 24 potential donors consented, with medical unsuitability (13) and coroner release (8) as main barriers to donation.

Conclusions:

  • "Required request" legislation is unlikely to substantially increase organ donor supply.
  • Medical suitability and logistical factors are more significant impediments than consent rates.
  • Current practices should be reviewed to address these primary barriers.
Keywords:
Death and EuthanasiaEmpirical ApproachHealth Care and Public Health

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