¿Cuánto conocen los médicos sobre el diagnóstico y certificación de muerte encefálica?
Context: the correct identification and diagnosis of brain death can help facilitate the process of organ donation, thus allowing saving lives and improving the quality of the same in other people.Objective: to measure the level of diagnostic knowledge and certification of brain death in physicians...
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| Other Authors: | , |
| Format: | article |
| Language: | spa |
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2017
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| Online Access: | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1449 |
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Add Tag | Summary: | Context: the correct identification and diagnosis of brain death can help facilitate the process of organ donation, thus allowing saving lives and improving the quality of the same in other people.Objective: to measure the level of diagnostic knowledge and certification of brain death in physicians in critical areas of: Hospital Eugenio Espejo, Hospital Carlos Andrade Marin and Hospital de Especialidades FFAAQuitoN°1, units with the highest detection rate of cadaveric donors.Subjects and method: a cross-sectional, descriptive study that evaluated 91% of physicians working in critical areas, through a double validation instrument.Results: a score of 54.8 / 100 (RIQ: 48.4-67.7) was obtained in the general knowledge indicator about the transplant, protocols and donation process. In the application indicator of the protocol corresponded to the median 75.0 / 100 points (RIQ: 50.0-75.0) and in the knowledge indicator of brain death and donation the result was 71.4 / 100 points (RIQ: 57, 1-71.4). The medians according to the different services were 61.3 / 100 in IntensiveTherapy and 51.6 / 100 points in emergency (p <0.0001). Regarding the level of knowledge about the INDOT and brain death protocol, 66.7 / 100 points were obtained (RIQ: 66.7-100.0). The lowest scoring section was observed in the theoretical knowledge indicator of the current protocol, with a median of 47.1 / 100 points (RIQ: 35.3-58.8); regarding services, the median in Intensive Therapy was 52.0 and 41.2 in Emergency (p <0.0001).Conclusion: It is opportune to implement a continuous medical education program on the current protocol for diagnosis and certification of brain death in hospitals that have critical areas, where potential cadaveric donors are detected. |
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