title: Factors Delaying Organ Procurement After Declaration of Brain Death in Korea.
abstract: BACKGROUND
  Organ donation after brain death is a major source for obtaining transplantable organs for patients with end-stage organ disease. However, the time from declaring brain death to organ procurement is often longer than expected. Analyzing factors that delay organ procurement may help to prevent damage to organs from marginal and unstable donors and aid in preparation for recipient operation. The aim of this study was to examine factors associated with the interval between the time of declaring brain death and organ procurement.
  
  
  METHODS
  Medical records of patients who underwent organ procurement after brain death from February 2009 to April 2015 were retrospectively reviewed.
  
  
  RESULTS
  Of the 77 patients which were scheduled to undergo organ procurement, 68 eventually underwent procurement of ≥1 organ. The average time interval from 1st exam for brain death to organ procurement decreased from 1,248 minutes in 2009 to 910 minutes in 2015. Although not statistically significant, during the 6-year period, the time interval decreased from 1,105 minutes to 1,075 minutes in the latter half of the period (P = .623). Organ procurement was extensively delayed most commonly owing to false negative electroencephalogram (EEG; 62.5%).
  
  
  CONCLUSIONS
  With increasing experience in dealing with brain death donors, the time interval from declaring brain death to organ procurement decreased. We suggest that an EEG be performed during the initial stages of examination for brain death to prevent unnecessary preparation of recipient operation owing to a false EEG test.
authors.affiliation: Division of HBP Surgery and Liver Transplantation, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea.
authors.forename: Y-D
authors.initials: YD
authors.lastname: Yu
authors.affiliation: Department of Nursing Service, Korea University Anam Hospital, Seoul, Korea.
authors.forename: S-J
authors.initials: SJ
authors.lastname: Kim
authors.affiliation: Department of Nursing Service, Korea University Anam Hospital, Seoul, Korea.
authors.forename: Y-S
authors.initials: YS
authors.lastname: Jang
authors.affiliation: Division of HBP Surgery and Liver Transplantation, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea.
authors.forename: S-W
authors.initials: SW
authors.lastname: Jung
authors.affiliation: Division of HBP Surgery and Liver Transplantation, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea.
authors.forename: J-H
authors.initials: JH
authors.lastname: Han
authors.affiliation: Division of Transplantation and Vascular Surgery, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea.
authors.forename: H
authors.initials: H
authors.lastname: Jun
authors.affiliation: Division of Transplantation and Vascular Surgery, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea.
authors.forename: C-W
authors.initials: CW
authors.lastname: Jung
authors.affiliation: Division of HBP Surgery and Liver Transplantation, Department of Surgery, Korea University Medical Center, Korea University Medical College, Seoul, Korea. Electronic address: kimds1@korea.ac.kr.
authors.forename: D-S
authors.initials: DS
authors.lastname: Kim
mesh_terms: D001926:Brain Death / Q000175:diagnosis*; D004569:Electroencephalography; D005188:False Negative Reactions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D056910:Republic of Korea; D012189:Retrospective Studies; D013997:Time Factors; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000706:statistics & numerical data*; D019737:Transplants