Brain death: Difference between revisions

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(Should time of brain death really be used as transfer ready dttm? Probably not...)
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**Confirmatory testing (e.g. brain bloodflow) is not required, but is sometimes used.   
**Confirmatory testing (e.g. brain bloodflow) is not required, but is sometimes used.   
*The declaration of brain death must be done by two independent physicians.
*The declaration of brain death must be done by two independent physicians.
*For those patients who are declared brain dead, and do not become actual or potential organ donors, use the time of brain death as the transfer ready time, and the time of cardiac death as the discharge date and time.
{{DiscussTask|
*For those patients who are declared brain dead, and do not become actual or potential organ donors, use the time of brain death as the [[Transfer Ready DtTm]], and the time of cardiac death as the [[Dispo DtTm]]. (Michelle)
** We use [[Transfer Ready DtTm]] to calculate [[Transfer Delay]], which I believe is understood to be avoidable and something to decrease. In this case, the time between brain death and cardiac death is not avoidable, right? So, is the use as [[Transfer Ready DtTm]] consistent with how we want to use our data? Actually, is it reasonable at all? Ttenbergen 10:16, 2020 September 23 (CDT)
}}


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==

Revision as of 10:16, 2020 September 23

ICD10 Diagnosis
Dx: Brain death
ICD10 code: G93.81
Pre-ICD10 counterpart: Braindead
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: none
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • G93.81
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Additional Info

See Guideline for coding organ donation after death for additional collection info.

  • A brain-dead individual has no clinical evidence of brain function upon physical examination. This includes:
    • no response to pain
    • no brainstem reflexes
    • no respiratory efforts (via apnea test)
    • Brainstem reflexes tested as part of the brain death protocol are: pupillary, oculocephalic (Dolls eyes), oculovestibular (cold calorics), and corneal.
    • Confirmatory testing (e.g. brain bloodflow) is not required, but is sometimes used.
  • The declaration of brain death must be done by two independent physicians.
  • For those patients who are declared brain dead, and do not become actual or potential organ donors, use the time of brain death as the Transfer Ready DtTm, and the time of cardiac death as the Dispo DtTm. (Michelle)
    • We use Transfer Ready DtTm to calculate Transfer Delay, which I believe is understood to be avoidable and something to decrease. In this case, the time between brain death and cardiac death is not avoidable, right? So, is the use as Transfer Ready DtTm consistent with how we want to use our data? Actually, is it reasonable at all? Ttenbergen 10:16, 2020 September 23 (CDT)
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Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

 AppStatus
Query check ICD10 dx implying death must have appropriate dispoCCMDB.accdbimplemented
Query NDC dx implying death across encountersCentralized data front end.accdbimplemented

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