Neuroanesthesia & neurocritical care

Institutional Variability in Brain-Dead Organ Donation Processes and Practices: A Multicenter Cohort Study

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

Highly active hospitals demonstrated more intensive donor management practices, longer timeframes for key donation steps, and greater multidisciplinary engagement.

Study context

Population
Brain-dead organ donors with at least one organ procured and transplanted, 16 tertiary emergency and critical care centres in Japan, July 17, 2010–December 31, 2023
Participants
204 donors · 16 centres
Exposure
Highly active vs moderately active brain-dead organ donation hospitals
Outcome
Institutional donation practices: donor management strategies, use of vasopressors and corticosteroids, time intervals in the donation process, frequency of multidisciplinary team meetings
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Highly active
Corticosteroid use 58.3% vs. 38.0%; P = 0.004
Highly active
Time to family consent, median 8 vs. 5 d; P < 0.001
Highly active
Time to organ procurement, median 12 vs. 9 d; P = 0.006
Highly active
Multidisciplinary meetings during donor management, median 2 vs. 0; P < 0.001

Observational data: associations, not effects.

Original publication

Institutional Variability in Brain-Dead Organ Donation Processes and Practices: A Multicenter Cohort Study. Crit Care Med. Published 26 March 2026. doi:10.1097/ccm.0000000000007120

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