In Japan, the brain death has not been recognized legally to be individuals death.
Authors made a retrospective investigation on medical treatments of nine brain deaths since 1985. TISS and medical expenditures based on it are compared before and after the first day of confirmed brain death according to authors standard procedure.
On evaluation of the grade of critical severity, the APPACHE-II scoring is used in order to evaluate a possibility of brain death victims to be candidate for organ transplant donors.
The mean stay in ICU in this series, was 15.7 days, 6.3 days before and 9.3 days after the confirmation of brain death without signif icance.
TISS showed average of 60.6 point on the day of admission to the ICU, 57.4 points on the first day of confirmed brain death and 50.5 points after with significant decrease (P<0.01) .
On APPACHE-II scoring, only one of nine had a potential to be a candidate of organ transplant donnor.
Medical expenditures to obtain one candidate amounted over 30 million yen.
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