PMID: 2511940Oct 21, 1989Paper

Brain stem death and organ donation

BMJ : British Medical Journal
A BodenhamG R Park

Abstract

Organs for donation are in short supply in the United Kingdom, resulting in allegations that relatives of potential donors are not being asked for consent. Legislation on "required request" has been proposed to overcome this. The incidence, causes, complications, and patterns of organ donation in brain stem dead patients in one referral centre were studied over 12 months. Data were collected on all patients fulfilling criteria for brain stem death or considered suitable for donating organs after circulatory arrest. Forty two patients fulfilled the criteria for brain stem death, and in 10 further patients circulatory arrest occurred before formal testing was finished. The major causes of brain stem death were head injury (28) and intracranial haemorrhage (17). Consent to organ donation was obtained for 24 potential donors, and organs were donated by 23 of them. Twenty nine patients did not donate organs. The commonest reasons for failure to donate were medical unsuitability (13) and the coroner not releasing the body (eight). Consent was not sought in three cases, and the relatives refused consent in the remaining five. This study suggests that required request will not considerably increase the supply of donor organs.

References

May 21, 1988·British Medical Journal·G D Chisholm
May 1, 1989·The British Journal of Surgery·R E Wakeford, R Stepney

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Citations

Aug 17, 1991·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·J A Odell
Aug 4, 1990·BMJ : British Medical Journal·G G LaveryK G Lowry
Nov 24, 1990·BMJ : British Medical Journal·D GentlemanB Jennett
May 4, 1991·BMJ : British Medical Journal·M A SalihH A Cripps
Feb 20, 1993·BMJ : British Medical Journal·A Nicholls, H Riad
Nov 11, 1989·BMJ : British Medical Journal
Dec 2, 1989·BMJ : British Medical Journal
Dec 10, 2013·European Journal of Pharmacology·Shreaya Chakroborty, Grace E Stutzmann
Feb 20, 1993·BMJ : British Medical Journal·D J Irwin
Oct 31, 2009·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Avnish Kumar SethHarjinder Bhatoe
Feb 20, 1993·BMJ : British Medical Journal·G G LaveryD L Coppel
Feb 20, 1993·BMJ : British Medical Journal·S Ziebland, A Rogers
Feb 1, 1995·Anaesthesia and Intensive Care·I Y Pearson, Y Zurynski
Feb 20, 1993·BMJ : British Medical Journal·C Kelleher, B Dineen
Dec 1, 1991·Transplant International : Official Journal of the European Society for Organ Transplantation·H BilgelN Korun

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