Criação de banco de dados de indivíduos neurologicamente críticos em protocolo para diagnóstico de morte encefálica

Abstract

Brain Death (BD) is verified through clinical examinations, apnea testing and graphic examinations. Objective: to perform a retrospective analysis of the medical records in a tertiary hospital of individuals submitted to the brain death diagnosis protocol. Method: data collection performed during the period from December 2O15 to December 2018, creating an information database and identifying the reasons for the interruption of the protocol, the life of the individual between the interruption and death, as well as the graphic method used. Results: analysis of the profile of the neurologically severe individual in arresponsive coma and without reflexes that initiated the protocol of diagnoses of brain death and did not complete it, as well as those who concluded, the confrontation with the literature and the verification of the characteristics of the individuals who had the protocol of BD interrupted. Conclusion: the study contributed to the preliminary analysis of the profiles of severe individuals in a responsive coma and without reflexes who had the protocol of BD initiated in a tertiary hospital, having been finalized or not and demonstrates that all individuals who had the protocol of diagnosis of ME initiated, 100%, died, with the diagnosis of Brain Death or by cardio respiratory arrest. The profile of the individual who presented RCP before the conclusion of the BD diagnostic protocol presents the majority aged between 30 and 59 years, male, born in other municipalities, with complete elementary education, being 51.42% of etiology due to stroke and of these 61.11% hemorrhagic, with 62.85% with Glasgow with entry less than 8, SAH as the predominant comorbidity, followed by alcohol consumption, diabetes and smoking. The authors suggest new studies as well as the formation of the computerized, multicenter and standardized database.