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Saudi Journal of Kidney Diseases and Transplantation
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ORIGINAL ARTICLE Table of Contents   
Year : 2011  |  Volume : 22  |  Issue : 3  |  Page : 444-447
Utilization of intensive care units' beds occupied by brain-dead patients


King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Correspondence Address:
Mohammed Abdullah Alsultan
Assistant Professor, College of Medicine, Dean of Admission and Registration, Director of Scholarship Department, Consultant, Emergency Medicine and Intensive Care Unit, King Saud bin Abdulaziz University for Health Sciences, Riyadh
Saudi Arabia
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PMID: 21566298

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To evaluate the utilization of critical care unit beds occupied by brain-dead patients during the period falling between confirmation of the diagnosis till, either, organ harvesting or patient's expiration. We studied all the consecutive patients who had been documented brain-dead from January 2001 to December 2009. Death by brain criteria was documented in 232 patients with a median age of 39 ± 18.2 years; 181 (78%) were Saudis and 175 (75.5%) were males. Only 37 deceased patients diagnosed by brain criteria were consented by their next-of-kin for organ donation; 26 (70.1%) of them were non-Saudis. The time from confirming death by brain criteria in the study patients until they were moved to a morgue or to the operating room for retrieval of organs were 93 ± 89.9 vs. 73 ± 48 h, respectively (P = 0.07). In conclusion, I believe a better utilization of the intensive care units' beds by other than brain-dead patients would not produce great cost savings, but may provide care for more patients with better quality of care.


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