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10.1212/WNL.0000000000001540 http://scihub22266oqcxt.onion/10.1212/WNL.0000000000001540 C4433464!4433464 !25854866     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25854866 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Neurology 2015 ; 84 (18 ): 1870-9 Nephropedia Template TP {{tp|p=25854866 |t=2015. Brain death declaration: Practices and perceptions worldwide |pdf=|usr=}}{{25854866 }} gab.com Text Brain death declaration: Practices and perceptions worldwide JO: Neurology http://www.kidney.de/pget.php?&tw=1&pmid=25854866 #FOAvip OBJECTIVE: To assess the practices and perceptions of brain death determination worldwide and analyze the extent and nature of variations among countries. METHODS: An electronic survey was distributed globally to physicians with expertise in neurocritical care, neurology, or related disciplines who would encounter patients at risk of brain death. RESULTS: Most countries (n = 91, response rate 76%) reported a legal provision (n = 63, 70%) and an institutional protocol (n = 70, 77%) for brain death. Institutional protocols were less common in lower-income countries (2/9 of low [22%], 9/18 lower-middle [50%], 22/26 upper-middle [85%], and 37/38 high-income countries [97%], p < 0.001). Countries with an organized transplant network were more likely to have a brain death provision compared with countries without one (53/64 [83%] vs 6/25 [24%], p < 0.001). Among institutions with a formalized brain death protocol, marked variability occurred in requisite examination findings (n = 37, 53% of respondents deviated from the American Academy of Neurology criteria), apnea testing, necessity and type of ancillary testing (most commonly required test: EEG [n = 37, 53%]), time to declaration, number and qualifications of physicians present, and criteria in children (distinct pediatric criteria: n = 38, 56%). CONCLUSIONS: Substantial differences in perceptions and practices of brain death exist worldwide. The identification of discrepancies, improvement of gaps in medical education, and formalization of protocols in lower-income countries provide first pragmatic steps to reconciling these variations. Whether a harmonized, uniform standard for brain death worldwide can be achieved remains questionable. Twit Text FOAVip Brain death declaration: Practices and perceptions worldwide ????Neurology http://www.kidney.de/pget.php?&tw=1&pmid=25854866 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25854866 #FOAvip English Wikipedia <ref>{{Cite pmid|25854866 }}</ref> Brain death declaration: Practices and perceptions worldwide #MMPMID25854866 Wahlster S ; Wijdicks EF ; Patel PV ; Greer DM ; Hemphill JC 3rd ; Carone M ; Mateen FJ Neurology 2015[May]; 84 (18 ): 1870-9 PMID25854866 show ga OBJECTIVE: To assess the practices and perceptions of brain death determination worldwide and analyze the extent and nature of variations among countries. METHODS: An electronic survey was distributed globally to physicians with expertise in neurocritical care, neurology, or related disciplines who would encounter patients at risk of brain death. RESULTS: Most countries (n = 91, response rate 76%) reported a legal provision (n = 63, 70%) and an institutional protocol (n = 70, 77%) for brain death. Institutional protocols were less common in lower-income countries (2/9 of low [22%], 9/18 lower-middle [50%], 22/26 upper-middle [85%], and 37/38 high-income countries [97%], p < 0.001). Countries with an organized transplant network were more likely to have a brain death provision compared with countries without one (53/64 [83%] vs 6/25 [24%], p < 0.001). Among institutions with a formalized brain death protocol, marked variability occurred in requisite examination findings (n = 37, 53% of respondents deviated from the American Academy of Neurology criteria), apnea testing, necessity and type of ancillary testing (most commonly required test: EEG [n = 37, 53%]), time to declaration, number and qualifications of physicians present, and criteria in children (distinct pediatric criteria: n = 38, 56%). CONCLUSIONS: Substantial differences in perceptions and practices of brain death exist worldwide. The identification of discrepancies, improvement of gaps in medical education, and formalization of protocols in lower-income countries provide first pragmatic steps to reconciling these variations. Whether a harmonized, uniform standard for brain death worldwide can be achieved remains questionable. |*Attitude of Health Personnel [MESH] |*Developing Countries [MESH] |*Organizational Policy [MESH] |*Practice Patterns, Physicians' [MESH] |Brain Death/*diagnosis/legislation & jurisprudence [MESH] |Developed Countries [MESH] |Electroencephalography [MESH] |Hospitals [MESH] |Humans [MESH] |Neurologic Examination [MESH] |Neurology/*methods [MESH]Brain death declaration: Practices and perceptions worldwide (epmc).pdf DeepDyve Pubget Overpricing