Evidence map›Paper›PMID 34231810›Full record

Observational studyRevista Brasileira de terapia intensiva

New procedures for the confirmation of brain death in Brazil: results from the Central Estadual de Transplantes de Santa Catarina.

Letícia Silva Wagner, Rafael Lisboa de Souza, Flávio Ricardo Liberali Magajewski

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Letícia Silva WagnerUniversidade do Sul de Santa Catarina, Campus Pedra Branca - Palhoça (SC), Brasil.ORCID http://orcid.org/0000-0001-8657-4782
Rafael Lisboa de SouzaCentral Estadual de Transplantes de Santa Catarina, Secretaria de Estado da Saúde de Santa Catarina - Florianópolis (SC), Brasil.
Flávio Ricardo Liberali MagajewskiUniversidade do Sul de Santa Catarina, Campus Pedra Branca - Palhoça (SC), Brasil.
Universidade do Sul de Santa Catarina · BRUniversidade do Estado de Santa Catarina · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the impact of Resolution 2.173/2017 of the Federal Council of Medicine on results from the Central Estadual de Transplantes de Santa Catarina.

methodsThis was a cross-sectional observational study of medical records of all patients (1,605) with suspected brain death notified to the Central Estadual de Transplantes de Santa Catarina; for this study, procedures to confirm this diagnosis were initiated between July 2016 and December 2017 and between January 2018 and June 2019. The median duration of the protocol in each period was considered for the comparison between the intervals. The collected data were transformed into rates (per million population). The mean rates for the periods before and after the implementation of the protocol were analyzed by Student's t-test, and qualitative variables were analyzed by Pearson's chi-squared test.

resultsThe mean duration of brain death confirmation procedures decreased more than 1 hour in the second period compared to the first period, with statistical significance (p = 0.001). The rates of harvested livers and transplanted pancreas, the number of notifications by hospital size and the rate of cardiac arrest in the macro-region of the Itajaí Valley were significantly different between the two periods.

conclusionIn the period after the new resolution on brain death, there was a reduction in the duration for diagnosis. However, other indicators did not change significantly, providing evidence for the multidimensional nature of the organ transplantation process in Santa Catarina and the need for further studies to better understand and optimize the process.

Indexed as

Brain DeathBrazilCross-Sectional StudiesHumans

Identifiers

PMID34231810
PMCPMC8275083
OpenAlexW3180476303

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.