Volume 34, Issue 2 (7-2025)
JGUMS 2025, 34(2): 180-191 |
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Research code: ۱۴۰۱۰۸۰۹۰۲
Ethics code: IR.GUMS.REC.1402.056
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Monfared A, Rimaz S, Anvari S, Panahi L, Ghazanfar Tehran S, Pouy S, et al . Frequency of Organ Donation and the Related Factors in Patients With Low Consciousness Level Below 5 Admitted to Hospitals in Guilan Province, Iran. JGUMS 2025; 34 (2) :180-191
URL: http://journal.gums.ac.ir/article-1-2717-en.html
URL: http://journal.gums.ac.ir/article-1-2717-en.html
Ali Monfared1 
, Siamak Rimaz2 , Saeid Anvari1 , Latif Panahi *3 , Samaneh Ghazanfar Tehran1 , Somaye Pouy4 , Keyvan Abdi5 , Arezo Khiali5 , Morteza Rahbar-Taramsari6 , Saman Maroufizadeh7
, Siamak Rimaz2 , Saeid Anvari1 , Latif Panahi *3 , Samaneh Ghazanfar Tehran1 , Somaye Pouy4 , Keyvan Abdi5 , Arezo Khiali5 , Morteza Rahbar-Taramsari6 , Saman Maroufizadeh7
1- Department of Internal Medicine, Regenerative Medicine, Organ Procurement and Transplantation multidisciplinary Center, School of Medicine, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
2- Department of Anesthesiology, Anesthesiology Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
3- Department of Emergency and Intensive Care Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
4- Department of Pediatric Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
5- Regenerative Medicine, Organ Procurement and Transplantation Multidisciplinary Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
6- Department of Forensic Medicine, School of Medicine, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
7- Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
2- Department of Anesthesiology, Anesthesiology Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
3- Department of Emergency and Intensive Care Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
4- Department of Pediatric Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
5- Regenerative Medicine, Organ Procurement and Transplantation Multidisciplinary Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
6- Department of Forensic Medicine, School of Medicine, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
7- Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Abstract: (745 Views)
Background The incidence of accidents causing the occurrence of brain death in Iran is high. In this regard, the use of brain-dead cases’ organs for transplantation has been carried out in Iran, especially in Guilan Province, for a long time. Several factors are influential in this field.
Objective This study aims to determine the frequency of organ donation and the related factors in patients with a low consciousness level admitted to hospitals in Guilan Province, Iran.
Methods In this analytical cross-sectional study, the data of all patients with a Glasgow coma scale (GCS) score less than five admitted to the hospitals of Guilan province in 2021 and 2022 were examined and extracted. After entering the data in SPSS software, version 21, data were analyzed using descriptive and inferential statistics.
Results Patients included 245 males (74.9%) and 82 females (25.1%). In 2021, there were 179 patients with a GCS below 5, which decreased to 148 in 2022. The leading causes of decreased consciousness leading to brain death were cerebrovascular events (48.3%), trauma (37.3%), and cardiovascular events (6.1%). The most commonly retrieved organs were kidneys (n=68, 62.4%), livers (n=36, 33%), and hearts (n=5, 4.6%). The most common reasons for not donating organs were the non-occurrence of brain death (30.9%) and not being suitable for organ donation (30%). Also, out of 195 brain death cases, there were 27 cases (30.7%) whose relatives did not declare consent for organ donation.
Conclusion Although a large number of brain death cases in Guilan province are eligible for organ donation, it is not done in many cases, mostly because of the lack of consent from the families. In this regard, proper planning is necessary to improve people's knowledge and attitude towards brain death and organ donation.
Objective This study aims to determine the frequency of organ donation and the related factors in patients with a low consciousness level admitted to hospitals in Guilan Province, Iran.
Methods In this analytical cross-sectional study, the data of all patients with a Glasgow coma scale (GCS) score less than five admitted to the hospitals of Guilan province in 2021 and 2022 were examined and extracted. After entering the data in SPSS software, version 21, data were analyzed using descriptive and inferential statistics.
Results Patients included 245 males (74.9%) and 82 females (25.1%). In 2021, there were 179 patients with a GCS below 5, which decreased to 148 in 2022. The leading causes of decreased consciousness leading to brain death were cerebrovascular events (48.3%), trauma (37.3%), and cardiovascular events (6.1%). The most commonly retrieved organs were kidneys (n=68, 62.4%), livers (n=36, 33%), and hearts (n=5, 4.6%). The most common reasons for not donating organs were the non-occurrence of brain death (30.9%) and not being suitable for organ donation (30%). Also, out of 195 brain death cases, there were 27 cases (30.7%) whose relatives did not declare consent for organ donation.
Conclusion Although a large number of brain death cases in Guilan province are eligible for organ donation, it is not done in many cases, mostly because of the lack of consent from the families. In this regard, proper planning is necessary to improve people's knowledge and attitude towards brain death and organ donation.
Review Paper: Research |
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Received: 2024/07/11 | Accepted: 2024/11/4 | Published: 2025/07/1
Received: 2024/07/11 | Accepted: 2024/11/4 | Published: 2025/07/1
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