Clinical trial NCT03458052: Organ Donation Survey Among Health Care Professionals in Argentina
Official title: Knowledge, Professional Experience and Attitude Toward Organ Donation Among Health Care Professionals in Argentina: the DonAR Survey
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Brain Death
Lung Transplantation
Respiration, Artificial
Tissue and Organ Procurement
Keywords: Intensive and critical care
Organ donation
Knowledge
Lead sponsor: Hospital Italiano de Buenos Aires
Sponsor class: OTHER
First posted: 2018-03-08
Enrollment: 200
Sex: ALL
Minimum age (years): 23
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: 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

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Attitude Toward Organ Donation
timeFrame: 6 months
measure: Organ Donor Registry
timeFrame: 6 months
measure: Last will manifest
timeFrame: 6 months
measure: Reasons to donate
timeFrame: 6 months
measure: Reasons not to donate
timeFrame: 6 months
measure: Level of knowledge
timeFrame: 6 months
measure: Degree formation
timeFrame: 6 months
measure: Post degree formation
timeFrame: 6 months
measure: Brain death definition
timeFrame: 6 months
measure: Lung organ donor criteria
timeFrame: 6 months
measure: Organ Donor Consent
timeFrame: 6 months
measure: Potential lung donor management protocols
timeFrame: 6 months
measure: Neurocritical patients care
timeFrame: 6 months
measure: Call to the federal organ procurement organism to report a patients with a GCS ≤ 7
timeFrame: 6 months
measure: Apnea Test
timeFrame: 6 months
measure: Type of apnea test
timeFrame: 6 months
measure: Call to the federal organ procurement organism to report a possible brain death patient:
timeFrame: 6 months
measure: Potential organ donor patients care
timeFrame: 6 months
measure: Change in ventilator parameters
timeFrame: 6 months
measure: Change in the fraction inspired oxygen
timeFrame: 6 months
measure: Ventilator parameters
timeFrame: 6 months
measure: Strategies to improve oxygenation
timeFrame: 6 months
measure: Type of Recruitment maneuver
timeFrame: 6 months
measure: Type of PEEP titulation
timeFrame: 6 months
measure: Use of a closed-circuit for endotracheal suctioning
timeFrame: 6 months
measure: Measures to prevent ventilator-associated pneumonia
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Buenos Aires
country: Argentina
facility: Hospital Italiano de Buenos Aires
Study officials:
affiliation: Hospital Italiano de Buenos Aires
name: Vanesa R Ruiz, RT
role: PRINCIPAL_INVESTIGATOR
References:
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