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Tytuł:
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10 Years of Implementation of the "Glasgow 7" Quality Guarantee Program in the Mendoza Central Hospital: Epidemiology and Evolution of Neurocrytic Patients.
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Autorzy:
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Aldunate D; Department of Intensive Care, Central Hospital, Mendoza, Argentina Institute of Ablation and Implant, Mendoza, Argentina. Electronic address: .
Santarelli VS; Department of Intensive Care, Central Hospital, Mendoza, Argentina.
Hidalgo G; Institute of Ablation and Implant, Mendoza, Argentina Institute of Ablation and Implant, Mendoza, Argentina.
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Źródło:
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Transplantation proceedings [Transplant Proc] 2020 May; Vol. 52 (4), pp. 1053-1055. Date of Electronic Publication: 2020 Apr 02.
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Typ publikacji:
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Journal Article; Observational Study
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Język:
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English
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Imprint Name(s):
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Publication: New York, N.Y. : Elsevier Science Inc.
Original Publication: New York Stratton.
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MeSH Terms:
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Glasgow Coma Scale*
Tissue Donors*/statistics & numerical data
Brain Death/*diagnosis
Donor Selection/*standards
Adult ; Argentina/epidemiology ; Brain Injuries, Traumatic/epidemiology ; Brain Injuries, Traumatic/mortality ; Cohort Studies ; Coma/epidemiology ; Coma/mortality ; Donor Selection/methods ; Female ; Hospitals ; Humans ; Male ; Middle Aged ; Retrospective Studies
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Entry Date(s):
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Date Created: 20200407 Date Completed: 20200921 Latest Revision: 20200921
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Update Code:
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20240105
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DOI:
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10.1016/j.transproceed.2020.02.001
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PMID:
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32249053
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Introduction: In 2003, the Glasgow 7 Quality Guarantee Program was put into effect in Argentina with the objective of standardizing the donation and transplant process throughout the country, establishing the observation and registration of all neurocritical patients with a score on the Glasgow Coma Scale of 7 of 15 or less admitted to critical beds of selected establishments.
Materials and Methods: The following study is retrospective, observational, and cohort-based. It was developed in the Central Hospital of Mendoza, in the critical units, including guard, coronary, cardiovascular surgery recovery, and intensive care therapy. The inclusion criteria were admission to the institution with a score on the Glasgow Coma Scale of 7 or less with a structural cause of coma. Data collection was carried out in the national online database SINTRA.
Results: From January 1, 2008, to December 31, 2018, 1757 patients were enrolled at the Central Hospital of Mendoza, Argentina with Glasgow scores of 7 or less. The most frequent cause of coma was brain trauma (934 patients; 53%), followed by stroke (614 patients; 35%). Of those who scored 3 of 15 in the GCS upon admission, 65% progressed to brain death, whereas 72% of those who scored 7 were discharged. Of all these patients, 270 became donors, accounting for 43% of all brain deaths, whereas 187 had refused to become organ donors (30.6%). Of the total real donors, 55% were multiorganic (150 donors).
(Copyright © 2020 Elsevier Inc. All rights reserved.)
