RNOtherRevista da Escola de Enfermagem da U S P2025

Factors associated with the diagnosis of Brain Death in hospitals in the State of Sergipe.

José Lucas Dos Santos, Gabriella Santos Cisneiros, Jussiely Cunha Oliveira and 2 others

PMID 41160110

WHAT IT FOUND

In hospitals in Sergipe, adults suspected of brain death were more likely to have the diagnosis confirmed if they lived near the capital, and less likely if they were older or had cancer.

Key findings

01In the 69 patients analysed, older age was associated with lower confirmation of brain death (PR 0.96; p = 0.044).

02Cancer was associated with non-confirmation of brain death (PR 0.18; p = 0.022).

03Place of residence was associated with confirmation of brain death (adjusted PR 5.49; p = 0.031).

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Of 231 patients meeting criteria, 127 died before interview and 11 guardians did not consent, leaving 69 participants. The study was cross-sectional, so it cannot show that age, cancer, or residence caused confirmation or non-confirmation. Most patients were from one hospital, H1 (86%), which limits generalisation. Statements about nurses' role were not tested as interventions.

The easy way to misread this

Do not conclude that living near the capital causes more brain-death confirmations. The study reports associations among 69 patients and cannot prove cause.

Read it on PubMed →