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Organ Donation Survey Among Health Care Professionals in Argentina

9. března 2018 aktualizováno: Hospital Italiano de Buenos Aires

Knowledge, Professional Experience and Attitude Toward Organ Donation Among Health Care Professionals in Argentina: the DonAR Survey

The aim of this study is to gather information about knowledge, professional experience and attitude toward organ donation among health care professionals involved in the care of potential donors about the procurement process and potential lung donor management nationwide.

Přehled studie

Postavení

Neznámý

Podmínky

Detailní popis

The shortage of cadaveric organ donors for transplantation is a global problem. This fact prolongs the time on the waiting list and, therefore, the mortality, which rise to 21.15% in Argentina compared to a world average of 16%. Many reasons can explain the low procurement rate. It has been stated that the conventional ventilatory management for potential lung donors is suboptimal for lung preservation before harvest.

In Argentina there is limited research regarding the attitude toward organ donation among health care professionals, knowledge of the federal organ procurement program and professional experience in diagnosing brain death and lung donor management. Knowing the Argentinian current situation will make it possible to detect possible organ shortages causes, evaluate strategies to increase the national procurement rate and to instruct the health team that assists neurocritical patients who die of brain death. So we propose the following research.

The aim of this study is to gather information about knowledge, professional experience and attitude among health care professionals involved in the care of potential donors toward organ donation, procurement process and potential lung donor management nationwide.

A online questionnaire was designed and distributed among health care professionals register to different scientific societies related to the care of neurocritical patients between febrary 16th and september 1st. The questionnaire consisting of 37 ítems: 6 items measuring attitudes, 6 items measuring knowledge, 16 items investigating professional experience and 9 ítems assessing demographics.

Typ studie

Pozorovací

Zápis (Očekávaný)

200

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

23 let až 99 let (Dospělý, Starší dospělý)

Přijímá zdravé dobrovolníky

Ne

Pohlaví způsobilá ke studiu

Všechno

Metoda odběru vzorků

Vzorek nepravděpodobnosti

Studijní populace

Heath Care Professionals working in Adult and Pediatric Critical Care Units and Emergency Department from Argentinian Public and Private Hospitals, registrated in the Sociedad Argentina de Terapia Intensiva

Popis

Inclusion Criteria:

  • health care professionals
  • register to the Sociedad Argentina de Terapia Intensiva (SATI)
  • related to the care of neurocritical patients
  • between febrary 16th and september 1st.

Exclusion Criteria:

  • unrelated to the care of neurocritical patients

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Observační modely: Jiný
  • Časové perspektivy: Budoucí

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Attitude Toward Organ Donation
Časové okno: 6 months
investigated attitudes regarding organ donation among health care professional: is an organ donor:1, isn´t an organ donor:2, he/she haven´t been decided: 2
6 months
Organ Donor Registry
Časové okno: 6 months
investigated whether the health care professional is a registered organ donor: Yes:1, No:0.
6 months
Last will manifest
Časové okno: 6 months
investigated whether the health care professional´s spouse and / or family knows he/she organ donor attitude towards organ donation: Yes:1, No:0.
6 months
Reasons to donate
Časové okno: 6 months
investigated reasons why the health care professional´ would donate their organs: To save the life of another person: 1, Because after death the body does not need anything: 2, To create awareness in the donation: 3, For religious reasons: 4, Others: 5
6 months
Reasons not to donate
Časové okno: 6 months
investigated reasons why the health care professional´ would not donate their organs or haven´t decided: for religious aspects: 1, for the improper organs use: 2, to maintain my body integrity: 3, for fear of the removal of organs before my death: 4, for fear that they do not give me the attention Medical needed to save my life: 5, Others: 6
6 months
Level of knowledge
Časové okno: 6 months
investigated how the health care professional would classify the level of knowledge regarding organ donation: Not at all informed: 1, Little informed: 2, Suitably informed: 3
6 months
Degree formation
Časové okno: 6 months
investigated whether the health care professional received organ donation information during their degree formation: Yes:1, No:0.
6 months
Post degree formation
Časové okno: 6 months
investigated whether the health care professional attended to courses on procurement or organ donation after their degree formation: Yes:1, No:0.
6 months
Brain death definition
Časové okno: 6 months
investigated when health care professional consider a neurocritical patient as a potential organ donor: When the patient is in a coma: 1, When brain inactivity is corroborated with technical or instrumental means in a patient with irreversible absence of brain response with loss of consciousness, absence of spontaneous breathing, absence of cephalic reflexes and observation of fixed pupils: 2, When the patient is in a vegetative state: 3, When cardiorespiratory arrest occurs in the patient with irreversible absence of brain response with loss of consciousness, absence of spontaneous breathing, absence of cephalic reflexes and fixation of fixed pupils: 4, Other: 5
6 months
Lung organ donor criteria
Časové okno: 6 months
investigated whether the health care professional know the criteria the organ donor must meet to be considered an optimal lung donor. PaO2 / FiO2> 300 with FiO2 1 and PEEP 10cmH2O, without evidence of aspiration / sepsis, absence of microorganism in sputum / BAL, absence of purulent secretions in tube: 1, X-ray with minimal infiltrates, no evidence of aspiration / sepsis, no history of cardiopulmonary surgery, absence of microorganism in sputum / BAL, absence of secretions: 2, clean chest X-ray, PaO2 / FiO2> 300 with FiO2 1 and PEEP 5cmH2O, absence of thoracic trauma, without evidence of aspiration / sepsis, no history of cardiopulmonary surgery, absence of microorganism in sputum / BAL, absence of purulent secretions in tube: 3, d. Unilateral thoracic trauma, with no evidence of aspiration / sepsis, no history of cardiopulmonary surgery, absence of microorganism in sputum / BAL, absence of purulent secretions in tube: 4
6 months
Organ Donor Consent
Časové okno: 6 months
investigated whether the health care professional knows where and how to express he/she consent for organ donation: Yes:1, No:0.
6 months
Potential lung donor management protocols
Časové okno: 6 months
investigated whether the health care professional knows if the health care institution were he/she works have a potential lung donor management protocol.
6 months
Neurocritical patients care
Časové okno: 6 months
investigated whether the health care professional had ever assist a neurocritical patients during this professional career.
6 months
Call to the federal organ procurement organism to report a patients with a GCS ≤ 7
Časové okno: 6 months
investigated whether the health care professional had ever call to the federal organ procurement organism (INCUCAI) to report a neurocritical patients with a GCS ≤ 7.
6 months
Apnea Test
Časové okno: 6 months
investigated whether the health care professional had ever done an apnea test during this professional career.
6 months
Type of apnea test
Časové okno: 6 months
investigated which type of apnea test the health care professional had done: the conventional apnea test consisting in preoxygenation and disconnection form the ventilator; or one of the alternative apnea test: by artificial increase of Co2; with CPAP or by controlled hypoventilation.
6 months
Call to the federal organ procurement organism to report a possible brain death patient:
Časové okno: 6 months
investigated whether the health care professional had ever call to the federal organ procurement organism (INCUCAI) to report a possible brain death patient.
6 months
Potential organ donor patients care
Časové okno: 6 months
investigated whether the health care professional had ever participated in the procurement process and maintenance (management) of a potential organ donor patient during this professional career.
6 months
Change in ventilator parameters
Časové okno: 6 months
investigated whether the health care professional make a change in the ventilator parameters after the brain dead diagnosis.
6 months
Change in the fraction inspired oxygen
Časové okno: 6 months
investigated whether the health care professional change the fraction inspired oxygen to 100% after the brain dead diagnosis, or reduced it if the potential lung donor have a PaO2/FiO2 > 300.
6 months
Ventilator parameters
Časové okno: 6 months
investigated which tidal volume (Vt) and positive end expiratory pressure (PEEP) does the health care professional use to ventilate a potential lung donor patient among different options: Vt 10-12 mL/kg, PEEP 5 cmH20:1, Vt 10-12 mL/kg, PEEP 8-10 cmH20:2, Vt 8-10 mL/kg, PEEP 5 cmH20:3, Vt 8-10 mL/kg, PEEP 8-10 cmH20:4, Vt 6-8 mL/kg, PEEP 5 cmH20:5, Vt 6-8 mL/kg, PEEP 8-10cmH20:6, Other:7
6 months
Strategies to improve oxygenation
Časové okno: 6 months
investigated whether the health care professional use any strategy to improve oxygenation in case of low oxygenation and which type of strategies does it use: change positioning:1, pulmonary expansion techniques:2, endotracheal suctioning:3, Fiberoptic bronchoscopy:4, Recruitment maneuvers: 5, PEEP titulation:6, Others:7
6 months
Type of Recruitment maneuver
Časové okno: 6 months
investigated the most commonly used type of recruitment maneuver in a potential PULMONARY donor: Sighs with increased Tidal Volume for several breaths: 1, CPAP of 40 cmH20 for 40 seconds: 2, CPAP of 30 cmH20 for 30 seconds: 3, Step increase of PEEP to 40 cmH20 and then stepwise decrease: 4, PC Mode CMV with inspiratory pressure of 25-30 cmH20 and PEEP 10-15 cmH20 for 2 hours for a single time: 5, PC-CMV mode with inspiratory pressure of 20 cmH20 and stepwise increase of PEEP to 20-30 cmH20: 6, PEEP of 18-20 cmH20 for 1 minute, then decrease PEEP and increase Tidal Volume for several breaths: 7, Other: 8.
6 months
Type of PEEP titulation
Časové okno: 6 months
PEEP / FiO2 Table (ARDS Network): 1, PEEP / Compliance Protocol: 2, Determination of the lower inflection point per Pressure / Volume curve: 3, Increase of the PEEP for Plateau Pressure <28 cmH20 (Express Protocol): 4, Guided by esophageal manometry: 5, Guided by pulmonary ultrasound: 6, Guided by volumetric capnography: 7, Other: 8
6 months
Use of a closed-circuit for endotracheal suctioning
Časové okno: 6 months
investigated whether the health care professional use a closed-circuit for endotracheal suctioning.
6 months
Measures to prevent ventilator-associated pneumonia
Časové okno: 6 months
investigated whether the health care professional consider important to continue the care bundle to prevent ventilator-associated pneumonia such as: head elevation, tracheal cuff control, oral hygiene, etc.
6 months

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Hospital Italiano de Buenos Aires

Vyšetřovatelé

  • Vrchní vyšetřovatel: Vanesa R Ruiz, RT, Hospital Italiano de Buenos Aires

Publikace a užitečné odkazy

Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.

Obecné publikace

Užitečné odkazy

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Aktuální)

16. února 2018

Primární dokončení (Očekávaný)

1. dubna 2018

Dokončení studie (Očekávaný)

1. září 2018

Termíny zápisu do studia

První předloženo

1. března 2018

První předloženo, které splnilo kritéria kontroly kvality

1. března 2018

První zveřejněno (Aktuální)

8. března 2018

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

12. března 2018

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

9. března 2018

Naposledy ověřeno

1. února 2018

Více informací

Termíny související s touto studií

Klíčová slova

Další relevantní podmínky MeSH

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