Do Spanish Medical Students Understand the Concept of Brain Death?

作者：Rios Antonio; Lopez Navas A; Lopez Lopez A; Gomez F J; Iriarte J; Herruzo R; Blanco G; Llorca F J; Asunsolo A; Sanchez P; Gutierrez P R; Fernandez A; de Jesus M T; Martinez Alarcon L; del Olivo M; Fuentes L; Hernandez J R; Virseda J; Yelamos J; Bondia J A; Hernandez A M; Ayala M A; Ramirez P; Parrilla P

来源：Progress in Transplantation, 2018, 28(1): 77-82.

DOI：10.1177/1526924817746687

• attitude
• medical students
• organ donation
• brain death
• psychosocial factors
• university

Objective: To analyze the level of understanding of the brain death concept among medical students in universities in Spain. Methods: This cross-sectional sociological, interdisciplinary, and multicenter study was performed on 9598 medical students in Spain. The sample was stratified by geographical area and academic year. A previously validated self-reported measure of brain death knowledge (questionnaire Proyecto Colaborativo Internacional Donante sobre la Donaciony Transplante de Organos) was completed anonymously by students. Results: Respondents completed 9275 surveys for a completion rate of 95.7%. Of those, 67% (n = 6190) of the respondents understood the brain death concept. Of the rest, 28% (n = 2652) did not know what it meant, and the remaining 5% (n = 433) believed that it did not mean that the patient was dead. The variables related to a correct understanding of the concept were: (1) being older (P < .001), (2) studying at a public university (P < .001), (3) year of medical school (P < .001), (4) studying at one of the universities in the south of Spain (P = .003), (5) having discussed donation and transplantation with the family (P < .001), (6) having spoken to friends about the matter (P < .001), (7) a partner's favorable attitude toward donation and transplantation (P < .001), and (8) religious beliefs (P < .001). Conclusions: Sixty-seven percent of medical students know the concept of brain death, and knowledge improved as they advanced in their degree.

• 出版日期2018-3