Prediction of possible brain death donors among patients who died due to spontaneous intracerebral hemorrhage (Using the Third State Central Hospital as an example)
- VernacularTitle:Тархины эдийн цус харвалтын улмаас нас барсан эмчлүүлэгчдэд тархины үхэлтэй боломжит донорыг судалсан үр дүн (Улсын Гуравдугаар Төв Эмнэлгийн жишээ дээр)
- Author:
Duuriimaa S
1
;
Uurtsaikh G
1
;
Nandinbayar M
2
;
Gansuvd O
3
;
Lkhamtsoo N
2
Author Information
1. Intermed Hospital
2. Third State Central Hospital
3. Department of Neurology and Neurosurgery, Mongolia-Japan Hospital
- Publication Type:Journal Article
- Keywords:
Organ transplantation;
Clinical severity;
Hematoma volume
- From:
Mongolian Journal of Health Sciences
2026;91(1):134-138
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:The rate of brain death organ donation is continuously increasing worldwide. Intracerebral hemorrhage (ICH) is the leading cause of brain death and accounts for 30-68% of organ transplant cases.
Aim:To identify the predictors of brain death (BD) upon admission to the intensive care unit (ICU) of comatose patients with spontaneous intracerebral hemorrhage (ICH).
Materials and Methods:A prospective observational study was conducted on ICH deaths in the Stroke Department of Third State Central Hospital from January 1 to December 31, 2018, and statistical analysis was performed using SPSS 22.0. Approval for the study was obtained from the Research Council of the Third State Central Hospital.
Result:The study included 138 (13.1%) inpatient stroke deaths in the Stroke Unit, of which 90 were ICH, 30 subarachnoid hemorrhage, and 18 ischemic strokes (p=0.006). Considering the age limit of up to 70 years, which is the criterion for brain-dead donors in Mongolia, out of the 42 ICH cases, 24 (57.1%) were male, and 18 (42.9%) were female (p=0.326). The mean age of these cases was 52.88±7.34, the mean GCS score at the time of hospitalization was 4.55±2.56, the mean NIHSS score was 31.5±7.81, and the mean volume of hematoma formed in 30 cases was 175.92±169.96 cm3 (each p<0.05). Mechanical ventilation durations occurred mostly in the first 0-2 hours and 2-6 hours (31% each), with the longest duration at 6-12 hours.
Conclusion:Patients with ICH who present with poor mental status on hospital admission (GCS<7), severe stroke on clinical assessment (NIHSS>32), extensive cerebral hemorrhage on computed tomography (CT) imaging, and early requirement for mechanical ventilation have a high likelihood of progression to brain death. These patients therefore represent a significant potential pool of organ donors.
- Full text:20260925193812174723_Тархины_эдийн_цус_харвалтын_улмаас_нас_барсан_эмчлүүлэгчдэд_.pdf
