Navigation Links
Organ Donation Policies Vary Among Children's Hospitals
Date:5/12/2009

More research, better adherence to recommendations needed, study suggests

TUESDAY, May 12 (HealthDay News) -- Children's hospitals have widely varying policies on organ donation after cardiac death (DCD), according to researchers, who asked 124 hospitals in the United States, Puerto Rico and Canada about their policies in 2007 and 2008.

The study authors received responses from 105 hospitals, and found that 72 percent of them had DCD policies, while policies were being developed in 19 percent, and 7 percent did not have and were not developing policies.

Of the 73 hospitals with DCD policies that were analyzed, 61 (84 percent) specified criteria or tests for declaring death, including electrocardiogram (ECG) findings, no pulse, no breathing, and unresponsiveness. Four policies required total waiting periods prior to organ removal that conflict with professional guidelines: One policy had a waiting period of less than 2 minutes, and three policies had waiting periods of longer than 5 minutes.

The researchers also found that 64 policies (88 percent) didn't allow transplant personnel to declare death, and 51 percent prohibited them from being involved in premortem (taking place immediately before death) management.

The importance of palliative care was noted in 65 policies (89 percent), but only 7 percent recommended or required palliative care consultation. The use of medications with the intention to hasten death was prohibited in 32 policies (44 percent), the researchers found.

The location of withdrawal of life-sustaining treatment was specified in 68 policies (93 percent), with the majority (54 percent) requiring withdrawal to occur in the operating room. Other locations specified in policies included areas adjacent to the operating room (19 percent), the emergency department (4 percent), or the intensive care unit (4 percent).

"This study demonstrates that, consistent with a national emphasis on increasing the supply of transplantable organs, a large number of children's hospitals have developed or are developing DCD policies," wrote Dr. Armand H. Matheny Antommaria, of the University of Utah School of Medicine, in Salt Lake City, and colleagues.

"The policies exhibit notable variation both within those we studied and compared with authoritative reports and statements. Further research will be required to determine the importance of variation in the tests for declaring death or the processes for withdrawing life-sustaining treatment. In the long run, public policy may need to address strategies to promote adherence to recommendations for DCD processes based on sufficient clinical evidence and/or ethical justification," they concluded.

The study appears in the May 13 issue of the Journal of the American Medical Association.

More information

The United Network for Organ Sharing has more about pediatric transplants.



-- Robert Preidt



SOURCE: Journal of the American Medical Association, news release, May 12, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Entrepreneurs Organization Hosts Pharmacy King Ralph Hoagland, Co-Founder of CVS
2. Milestones Organizations 7th Annual Autism/Aspergers Conference; Featuring: Brenda Smith Myles, Ph.D.
3. Five Healthcare Organizations Honored as Shining Stars by The Beryl Institute
4. Video: Hope Solution Organizations First National Change That Matters Webcast Telethon
5. Organizations Have Federal Government Tax Incentives to Purchase Remstar Automated Systems for 2009
6. Elizabeth Edwards Presented With Person of the Year Award by National Hospice and Palliative Care Organization at National Conference
7. Report Finds Faith Organizations Building Community, Improving Health Through Healthy Foods
8. Bertram Receives Organizational Innovation Award at AONE Conference -- Award Sponsor B. E. Smith Also Announces Funding for Three Seed Grants
9. New UVC Kit Destroys Microorganisms Including flu Viruses, Bacteria and Mold
10. Advanced Analytical Reveals New Platform for Rapid Genotypic Identification of Microorganisms at ASM 2009
11. RN Super Union Takes Next Step in Building Strong National Voice for Nurses With Focus on Organizing
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Organ Donation Policies Vary Among Children's Hospitals
(Date:2/5/2016)... ... February 05, 2016 , ... The Muscular Dystrophy Association ... restaurants, launched the 14th annual “Appetite for a Cure” campaign on Feb. 1 ... ALS and related diseases that severely limit strength and mobility. , Now ...
(Date:2/5/2016)... ... February 05, 2016 , ... After years as an active ... Unit, plastic and cosmetic surgeon Dr. Wayne Carman transitioned to chief of the Division ... completed his first three-year term as chief and began a second three-year term in ...
(Date:2/5/2016)... , ... February 05, 2016 , ... The American public ... such water may be safer than regular municipal or well water. The recent experience ... host Sharon Kleyne, could go a long way toward increasing public acceptance of recycled ...
(Date:2/5/2016)... ... 05, 2016 , ... Pivot Point Consulting, a leading national ... & Services for HIT Implementation Support & Staffing report with an outstanding score ... by healthcare executives, managers and clinicians representing over 4,500 hospitals and 2,500 clinics. ...
(Date:2/5/2016)... (PRWEB) , ... February 05, 2016 , ... ... founder of CitiDent, announces that it is now welcoming orthodontist, Dr. Amanda ... CitiDent offers a complete range of oral health care, including general dentistry, cosmetic ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... , February 5, 2016 ... Research report states that the global active pharmaceuticals ingredients ... is predicted to reach US$185.9 bn by 2020. It ... from 2014 to 2020. The title of the report ... Manufactured, by Geography, and by Therapeutic Area) - Global ...
(Date:2/5/2016)...  Henry Schein, Inc. (NASDAQ: HSIC ), the world,s ... office-based dental, animal health and medical practitioners, announced today ... a majority ownership interest in Dental Cremer S.A., a ... Brazil . --> ... the dental distribution business of Cremer S.A. With 2015 ...
(Date:2/4/2016)... , Feb. 4, 2016 For hospitals ... or those already participating in the program, the Health ... referred to as the , Mega-Guidance , could have ... guidance is published in September 2016. Essential ... and Service Marketing , summarizes the Mega-Guidance,s key proposed ...
Breaking Medicine Technology: