Evidence map›Paper›PMID 37214191›Full record

ArticleThe Southern African journal of critical care : the official journal of the Critical Care Society2021

South African guidelines on the determination of death.

D Thomson, I Joubert, K De Vasconcellos, F Paruk, S Mokogong, R Mathivha, M McCulloch, B Morrow, D Baker, B Rossouw and 8 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in The Southern African journal of critical care : the official journal of the Critical Care Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Diagnosis of death guidelines for South Africa - timely and necessary.The Southern African journal of critical care : the official journal of the Critical Care Society · 2021
    Article
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

18 authors at 9 institutions in 2 countries.

D ThomsonDivision of Critical Care, Department of Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
I JoubertDivision of Critical Care, Department of Anaesthesia and Peri-operative Medicine, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.
K De VasconcellosDepartment of Critical Care, King Edward VIII Hospital, Durban, South Africa; Discipline of Anaesthesiology and Critical Care, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa.
F ParukDepartment of Critical Care, University of Pretoria, South Africa.
S MokogongDepartment of Neurosurgery, University of Pretoria, South Africa.
R MathivhaDepartment of Critical Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
M McCullochPaediatric Intensive Care Unit and Transplant Unit, Red Cross War Memorial Children's Hospital and Faculty of Health Sciences, University of Cape Town, South Africa.
B MorrowDepartment of Paediatrics and Child Health, Faculty of Health Sciences, University of Cape Town, South Africa.
D BakerDepartment of Adult Critical Care, Livingstone Hospital and Faculty of Health Sciences, Walter Sisulu University, Port Elizabeth, South Africa.
B RossouwPaediatric Intensive Care Unit, Red Cross War Memorial Children's Hospital and Faculty of Health Sciences, University of Cape Town, South Africa.
N MdladlaDr George Mukhari Academic Hospital, Sefako Makgatho University, Johannesburg, South Africa.
G A RichardsDepartment of Critical Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
N WelkovicsNetcare Unitas Hospital, Centurion, South Africa.
B LevyNetcare Rosebank Hospital, Johannesburg, South Africa.
I CoetzeeDepartment of Nursing Science, University of Pretoria, South Africa.
M SpruytBusamed Bram Fischer International Airport Hospital, Bloemfontein, South Africa.
N AhmedConsolidated Critical Care Unit, Tygerberg Hospital, Department of Surgical Sciences, Department of Anaesthesiology and Critical Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town.
D GopalanDiscipline of Anaesthesiology and Critical Care, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa.
University of Cape Town · ZAUniversity of Pretoria · ZAStellenbosch University · ZAUniversity of the Witwatersrand · ZAClinvet · ZARed Cross War Memorial Children's Hospital · ZASefako Makgatho Health Sciences University · ZAUniversity of KwaZulu-Natal · ZAWalter Sisulu University · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Summary: Death is a medical occurrence that has social, legal, religious and cultural consequences requiring common clinical standards for its diagnosis and legal regulation. This document compiled by the Critical Care Society of Southern Africa outlines the core standards for determination of death in the hospital context. It aligns with the latest evidence-based research and international guidelines and is applicable to the South African context and legal system. The aim is to provide clear medical standards for healthcare providers to follow in the determination of death, thereby promoting safe practices and high-quality care through the use of uniform standards. Adherence to such guidelines will provide assurance to medical staff, patients, their families and the South African public that the determination of death is always undertaken with diligence, integrity, respect and compassion, and is in accordance with accepted medical standards and latest scientific evidence. The consensus guidelines were compiled using the AGREE II checklist with an 18-member expert panel participating in a three-round modified Delphi process. Checklists and advice sheets were created to assist with application of these guidelines in the clinical environment ( Key points: Brain death and circulatory death are the accepted terms for defining death in the hospital context.Death determination is a clinical diagnosis which can be made with complete certainty provided that all preconditions are met.The determination of death in children is held to the same standard as in adults but cannot be diagnosed in children <36 weeks' corrected gestation.Brain-death testing while on extra-corporeal membrane oxygenation is outlined.Recommendations are given on handling family requests for accommodation and on consideration of the potential for organ donation.The use of a checklist combined with a rigorous testing process, comprehensive documentation and adequate counselling of the family are core tenets of death determination. This is a standard of practice to which all clinicians should adhere in end-of-life care.

Identifiers

PMID37214191
PMCPMC10193841
OpenAlexW4367335412

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.