Canadians have decreased their odds of being declared brain dead over the past decade, but better survival rates after brain injuries may also be responsible for a decline in donor organs, according to a study published Monday in the Canadian Medical Association Journal. From 2002 to 2012, the proportion of brain-injured patients in southern Alberta who deteriorated to neurologic death (brain death) declined from 8.1 per cent to 4.2 per cent a 50-per-cent reduction, noted study author Dr. Andreas Kramer, a clinical assistant professor at the University of Calgary. He said the findings are consistent with reports of decreased mortality in brain-injured patients in other regions. Brain death is on the decline in Canada, he said. Neurologic death is clearly defined in Canadian guidelines, Kramer said. It is the irreversible end of all brain activity due to permanent loss of blood flow and oxygen to the brain. It is not the same as vegetative states, in which patients may have partial awareness. And it is unlike ambiguous states of consciousness detected in patients such as Hassan Rasouli, who was kept on life support after the Supreme Court of Canada ruled on Oct. 18 that doctors at Torontos Sunnybrook Hospital could … Continue reading
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