¿Cuánto conocen los médicos sobre el diagnóstico y certificación de muerte encefálica?
DOI:
https://doi.org/10.29166/ciencias_medicas.v42i2.1449Keywords:
Brain death, Diagnosis, Certification, Protocol, Cadaveric donors, INDOTAbstract
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 FFAA
QuitoN°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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