Evidence map›Paper›PMID 40814075›Full record

ArticleAnaesthesia and intensive care2026

A retrospective analysis of patients eligible for organ donation in adult intensive care units in Aotearoa New Zealand.

Lydia Shim, Cynthia J Wensley, Rachael L Parke

Abstract read
In one paragraph

Article in Anaesthesia and intensive care, 2026. 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
–field-weighted citation impact
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.

  1. 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

3 authors.

Lydia ShimDepartment of Critical Care Medicine, Auckland City Hospital, Te Toka Tumai Auckland, New Zealand.ORCID 0000-0002-4022-3503
Cynthia J WensleySchool of Nursing, The University of Auckland, Te Toka Tumai Auckland, New Zealand.
Rachael L ParkeSchool of Nursing, The University of Auckland, Te Toka Tumai Auckland, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To analyse characteristics of patients eligible for organ donation in New Zealand (NZ) Intensive Care Units (ICUs) and identify potentially modifiable factors that may benefit donation conversations and their outcomes. Design: A retrospective analysis of eligible patient data collected by Organ Donation New Zealand (ODNZ). Twenty-three adult ICUs in NZ from January 1, 2018, to December 31, 2021. Participants: Adult ICU patients eligible for organ donation via neurological determination of death (DNDD) or circulatory determination of death (DCDD). Patient and ICU characteristics, preparations for donation conversations, donation decisions, and reasons for non-approaches or declines were analysed. Descriptive statistics and binary logistic regression evaluated factors and outcomes. A total of 1,267 cases were analysed (DNDD = 687, DCDD = 580). Donation conversations occurred in 46.9% of cases, with 51.3% resulting in consent. Patients' demographics and admission trends were similar to international reports. Male gender (p = 0.016) and ICU length of stay (p = 0.003) were associated with increased DCDD consent likelihood. Conditions such as encephalopathy (p = 0.012), and cardiovascular disease (p < 0.001) were associated with reduced donation conversation likelihood. Families of Māori patients were associated with reduced donation conversation likelihood (p = 0.002) and families of Māori (p < 0.001), Pasifika (p < 0.001), and Asian patients (p = 0.004) were associated with reduced consent likelihood. Early consultation with ODNZ and timely brain death confirmation positively impacted donation conversations and consent rates. Although not always practised, early ODNZ consultation and timely brain death confirmation were modifiable factors positively associated with conversations being approached and consent. Research exploring ICU staff and families' perspectives may improve understanding of influencing factors.

Indexed as

Intensive Care UnitsTissue and Organ ProcurementAdultAgedFemaleHumansMaleMiddle AgedNew ZealandRetrospective Studiesbrain deathcirculatory deathhealth careinformed consentIntensive Care UnitNew ZealandOrgan donationoutcome assessmentretrospective studies

Identifiers

PMID40814075
PMCPMC12779765

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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.