Attitudes to brain death and organ procurement among university students and critical care physicians in poland.
OBJECTIVE
The practice of retrieving vital organs from brain-dead heart-beating donors is legally and medically accepted in Poland, but public beliefs and opinions regarding these matters have not been sufficiently explored. The purpose of this study was to evaluate the attitude of university students to the concepts of brain death and organ retrieval, compared with the attitude of critical care physicians.


METHODS
The cohorts of 989 students and 139 physicians completed a questionnaire based on a survey instrument developed in an earlier reported study on Ohio residents. Participants assessed 3 scenarios: (1) brain death, (2) coma, and (3) vegetative state. More than 48% of students classified the patient from the brain death scenario as alive, and 51% of them were willing to donate organs of this patient. Ninety percent of students classified the patients in coma and in a vegetative state as alive, but still 34% of them would donate organs of those patients. The group of physicians properly determined the patients' diagnoses, but 10% of them accepted organ procurement from patients in coma and in a vegetative state.


CONCLUSIONS
Our results supported the earlier observations of low public knowledge and inadequate understanding of brain death criteria and organ procurement processes. The majority of students were willing to accept organ procurement from severely ill but alive patients, in contrast with physicians. A considerable increase in public educational activity in this field is urgently recommended.
Kubler
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A
Department of Anesthesiology and Critical Care, University School of Medicine, Wroclaw, Poland. andrzej.kubler@anest.am.wroc.pl
Lipinska-Gediga
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M
Kedziora
J
J
Kubler
M
M
D000328:Adult; D001293:Attitude to Death; D001926:Brain Death; D003128:Coma; D016638:Critical Illness; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018458:Persistent Vegetative State; D010820:Physicians; D011044:Poland; D013334:Students; D013337:Students, Medical; D011795:Surveys and Questionnaires; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting; D009927:Tissue and Organ Procurement; D014495:Universities