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:5/26/2016)... ... May 26, 2016 , ... Saint Francis Hospital ... years, and the efforts have paid off. Since implementation of these efforts, ... care to enhance perioperative patient experiences and reduce costly complications. Since implementation in ...
(Date:5/26/2016)... ... May 26, 2016 , ... Development Team of Pixel ... for FCPX. , "This new layered style transition tool will keep a consistent flow ... CEO of Pixel Film Studios. , TranSweep is an all new layered style ...
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... ... industry leader in Blood Pressure products . , High blood pressure affects ... effects. Left untreated, high blood pressure can lead to heart disease, stroke, kidney ...
(Date:5/25/2016)... ... May 26, 2016 , ... The United States Food and Drug Administration ... both men and women. To date, the company is the first and only manufacturer ... adult who suffers with androgenetic alopecia. , “This new level of clearance substantiates ...
(Date:5/25/2016)... ... 25, 2016 , ... The Georgia State University College of Law new building ... Design Commission. , The annual award recognizes projects, programs, individuals and organizations that have ... of its physical heritage and the balance between the old and the new. , ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... LONDON , May 24, 2016 ... erfüllt beide primären Endpunkte ... und Überlegenheit in ‚ausgezeichneter plus guter ... aufsteigenden Colons    ,      (Logo: ... B.V. gab heute neue positive Daten von der ...
(Date:5/24/2016)... -- NxStage Medical, Inc. (Nasdaq: NXTM ), a ... today announced that Jeffrey H. Burbank , Chief ... of investor conferences. Where applicable, a webcast of the ...   ... Friday, June 10, 2016 1:30 p.m. ET ...
(Date:5/24/2016)... HONG KONG , May 24, 2016 /PRNewswire/ ... primer stent de doble terapia del mundo, introduce ... fístula arteriovenosa. OrbusNeich, una compañía global ... cambian las vidas, ha expandido su cartera incluyendo ... catéteres balón JADE™ y Scoreflex™ PTA son los ...
Breaking Medicine Technology: