Neuroanaesthesia & neurocritical care

Sequence and timing of organ donation discussions in brain-dead donors: a subanalysis of the J-RESPECT study

J Intensive CarePublished Secondary analysis of the J-RESPECT study

Primary result · Presentation sequence and associated factorsResult — go to the resultAdjusted odds ratio 1.03 95% CI 1.00–1.07

Authors' conclusion

Substantial inter-institutional variability exists in the sequence and timing of organ donation discussions in Japan.

Study context

Population
Adult brain-dead donors from 16 institutions in Japan, 2010–2023
Participants
190 donors · 16 institutions
Comparison
Brain death-first vs Option-first
  • Brain death-firstn = 76reference
  • Option-firstn = 114
Primary endpoint
Sequence of organ donation option presentation relative to clinical determination of a brain death-compatible state, and factors associated with it
Methodological detailsmulticentre retrospective cohort study, mixed-effects regression with random intercepts for institution
  • Multicentre retrospective cohort study
  • Mixed-effects regression with random intercepts for institution

Primary result

Presentation sequence and associated factors

Adjusted odds ratio

1.03

95% CI 1.00–1.07

Events by treatment group

Age (per year)
aOR 1.03 (95% CI 1.00–1.07)

Per year, as printed

As reported in the abstract

Between-institution variability (intraclass correlation coefficient)
0.32

Further findings

Interval from admission to option presentation

P < 0.001

Original publication

Sequence and timing of organ donation discussions in brain-dead donors: a subanalysis of the J-RESPECT study. J Intensive Care. Published 28 July 2026. doi:10.1186/s40560-026-00905-3

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