Pediatric organ donation: what factors most influence parents' donation decisions?
Pediatr Crit Care Med
; 9(2): 180-5, 2008 Mar.
Article
em En
| MEDLINE
| ID: mdl-18477931
ABSTRACT
OBJECTIVE:
To identify factors that influence parents' decisions when asked to donate a deceased child's organs.DESIGN:
Cross-sectional design with data collection via structured telephone interviews.SETTING:
One organ procurement organization in the Southeastern United States.PARTICIPANTS:
Seventy-four parents (49 donors, 25 nondonors) of donor-eligible deceased children who were previously approached by coordinators from one organ procurement organization in the southeastern United States.INTERVENTIONS:
None. MEASUREMENTS AND MAINRESULTS:
Multivariate analyses showed that organ donation was more likely when the parent was a registered organ donor (odds ratio [OR] = 1.4, confidence interval [CI] = 1.1, 2.7), the parent had favorable organ donation beliefs (OR = 5.5, CI = 2.7, 12.3), the parent was exposed to organ donation information before the child's death (OR = 2.6, CI = 1.7, 10.3), a member of the child's healthcare team first mentioned organ donation (OR = 1.4, CI = 1.2, 3.7), the requestor was perceived as sensitive to the family's needs (OR = 0.4, CI = 0.2, 0.7), the family had sufficient time to discuss donation (OR = 5.2, CI = 1.4, 11.6), and family members were in agreement about donation (OR = 2.8, CI = 1.3, 5.2).CONCLUSIONS:
This study identifies several modifiable variables that influence the donation decision-making process for parents. Strategies to facilitate targeted organ donation education and higher consent rates are discussed.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pais
/
Obtenção de Tecidos e Órgãos
/
Tomada de Decisões
/
Hospitais Pediátricos
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Pediatr Crit Care Med
Assunto da revista:
PEDIATRIA
/
TERAPIA INTENSIVA
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Estados Unidos