Family refusal in organ donation: Analysis of three patterns
Family refusal in organ donation: Analysis of three patterns
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DOI：
10.1016/s0041-1345(02)03469-3
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发表时间：
2002-11-01
影响因子：
0.9
通讯作者：
Daga, D
中科院分区：
文献类型：
--
作者：
Frutos, MA;Ruiz, P;Daga, D
METHODSTo evaluate the guidelines followed by the transplant coordinators during family interviews, we studied all the interviews carried out over the last 5 years in two hospitals from the same city with a catchment area of 1,200,000 inhabitants. All donation protocols reaching the stage of family interviews from January 1995 to December 2000 were analyzed. The interviews with the families of potential donors were always performed after confirmation of brain death by neurological examination and an instrument test (usually an EEG). Two members of the transplant coordination team (a doctor and a nurse), as well as a doctor from the intensive care unit, participated in the interview. The most common place was in a room near the ICU; we always tried to ensure the presence of the immediate family of the deceased, having the power of decision, with no restriction as to the number of persons. If the family initially refused or were unsure, subsequent meetings were held if there was no objection. A total of 269 interviews were carried out, with 248 (92.2%) valid reports, the other 21 being incomplete, due to insufficient, erroneous, or missing information. The results were divided into three groups for Chi-square statistical analysis, according to the result of the first interview: group A, acceptance of donation; group B, refusal of donation; group C, indecision. The records of each case were completed immediately after the final interview.
