Situational Diagnosis of the Profile of a Neurocritical Patient with Clinical Signs of Brain Death in a Hospital in the North of Brazil

Objectives: To analyze the profile of patients with clinical signs of brain death in a hospital in the state of Rondônia (RO) using a donation process management instrument. Method: This is a quantitative, descriptive, and retrospective study carried out in a hospital and emergency room that serves as for reference in the organ donation process in RO. The study population included all medical records of patients who died in the critical patient units of this hospital. The Death Information Form, based on the Spanish quality model, was used for data collection, which occurred from December 2022 to February 2023. The data were analyzed with descriptive statistics. Results: Four hundred and ninety-three medical records were analyzed, of which 77 were related to deaths due to neurological causes. The predominant profile was of male patients, with a mean age of 49 years, with traumatic brain injury being the main cause of hospitalization. Thirty-five cases of brain death and 30 non-validated potential donors were identified. The main causes of donor loss were underreporting and hemodynamic changes. Conclusion: The study revealed the profile of patients admitted to critical units who progressed to brain death and identified the causes of loss of potential donors, providing information that can help managers develop strategies to address these weaknesses.