Time Elapsed Between the Family Interview and Decision Making for Organ and Tissue Donation

IF 0.8 4区医学 Q4 IMMUNOLOGY

Transplantation proceedings Pub Date : 2025-09-01 DOI:10.1016/j.transproceed.2025.07.010

Maria Luísa de Souza , Nathalia Malaman Galhadi , Klênio de Oliveira Bonfim , Mariana Dolce Marques , Rafaela Batista dos Santos Pedrosa

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引用次数: 0

Abstract

Background

Family authorization is required for organ donation, and the decision-making process is often hindered by emotional distress, lack of understanding, and limited time. The aim of this study was to quantify the time elapsed between the confirmation of brain death (BD) and the family’s decision to authorize or refuse organ and tissue donation, and to analyze its influence on the outcome of the decision.

Method

A quantitative, cross-sectional, retrospective study was conducted through the analysis of 240 medical records of potential organ donors between 2021 and 2023 at an Organ Procurement Organization in São Paulo, Brazil. Sociodemographic and clinical data were collected, including information about the BD process, family interviews, and decision times. Statistical analyses were performed using the SAS software, version 9.4.

Results

Of the 240 potential donors, 57.92% were male, with an average age of 47.7 years. The leading causes of BD were subarachnoid hemorrhage, traumatic brain injury, and stroke. Interviews were primarily conducted by nurses (68.33%), with spouses and children being the main decision-makers. Overall, 57.98% of families consented to donation. The average time between the interview and decision-making was 9.05 hours, with a median of 5 hours. Families who consented had a significantly longer decision time (median of 5.91 hours) compared to those who refused (4.25 hours).

Conclusion

The study demonstrates that longer decision-making time is associated with higher rates of family consent for organ donation.

查看原文本刊更多论文

从家庭面谈到决定捐赠器官和组织的时间。

背景：器官捐献需要家属授权，决策过程往往因情绪困扰、缺乏理解和时间有限而受阻。本研究的目的是量化从确认脑死亡（BD）到家属决定批准或拒绝器官和组织捐赠之间的时间间隔，并分析其对决定结果的影响。方法：通过分析巴西圣保罗一家器官采购组织在2021年至2023年期间240例潜在器官捐献者的病历，进行了一项定量、横断面、回顾性研究。收集了社会人口学和临床数据，包括有关BD过程、家庭访谈和决策时间的信息。采用SAS软件9.4版进行统计分析。结果：240例潜在献血者中，男性占57.92%，平均年龄47.7岁。导致BD的主要原因是蛛网膜下腔出血、外伤性脑损伤和中风。受访人员以护士为主（68.33%），配偶和子女为主要决策者。总体而言，57.98%的家庭同意捐赠。从面试到决策的平均时间为9.05小时，中位数为5小时。与拒绝的家庭（4.25小时）相比，同意的家庭有更长的决定时间（中位数5.91小时）。结论：研究表明，较长的决策时间与较高的家庭同意器官捐赠率相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Transplantation proceedings 医学-免疫学

CiteScore

1.70

自引率

0.00%

发文量

502

审稿时长

60 days

期刊介绍： Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics. Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board. Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.