PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 16124388

[Coma--the interdisciplinary problem].

Anna Samborska-Sablik·Wojciech Gaszyński·Tomasz Gaszyński·Zbigniew Sablik
View original source ↗Export metadata ↓

Abstract

5% of all patients admitted to emergency units suffer from disturbances of state of consciousness. Early assessment/appreciation of degree of unconsciousness and identification of its etiology influences on and sometimes decides success of its therapy. In the article below epidemiology, diagnosis, prognosis and main principles of procedures employed in senseless patients are discussed.

Explore related subjects

ComaHumansInterdisciplinary CommunicationPatient Care TeamEnglish AbstractJournal ArticleResearch Support, Non-U.S. Gov'tReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Anna Samborska-Sablik, Wojciech Gaszyński, Tomasz Gaszyński, Zbigniew Sablik. 2005. [Coma--the interdisciplinary problem].. https://pubmed.ncbi.nlm.nih.gov/16124388/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Predicting coma and other low responsive patients outcome using event-related brain potentials: a meta-analysis.

OBJECTIVE: A meta-analysis was performed to estimate the predictive power (odd ratio, OR) for awakening of auditory event-related potential (ERP) components in low responsive patients with stroke or hemorrhage, trauma, anoxic, post-operative, and metabolic encephalopathy etiologies. METHODS: We reviewed MEDLINE and analyzed citations for retrieved articles. Logistic regressions were applied on patient samples (Glasgow Coma Scale <12) across and for separate etiologies. RESULTS: For stroke and hemorrhage the ORs with 95% confidence intervals were: 2.05 [1.12-3.75] (N100), 4.47 [1.92-10.44] (MMN), 10.29 [2.00-52.79] (P300), for trauma: 1.63 [0.70-3.80] (N100), 4.72 [1.35-16.44] (MMN), 12.89 [4.82-34.43] (P300), anoxic: 8.03 [2.83-22.75] (N100), 15.50 [4.27-56.26] (MMN), 5.93 [2.38-14.77] (P300), post-operative: 10.66 [1.98-57.50] (N100), metabolic encephalopathy: 2.12 [0.34-13.13] (N100), 3.60 [0.28-46.36] (MMN), 7.71 [0.75-79.77] (P300), and all etiologies: 2.85 [1.91-4.27] (N100), 6.53 [3.55-12.01] (MMN), and 8.79 [4.88-15.83] (P300). Based on six N100 studies (N=548 patients), five MMN studies (N=470), and six P300 studies (N=313), the N100, MMN, or P300, when present, significantly predicted awakening, P300 and MMN being significantly better predictors than N100. CONCLUSIONS: The MMN and P300 appear to be reliable predictors of awakening. SIGNIFICANCE: The prognostic assessment of low responsive patients with auditory ERP should take into account both MMN and P300.

Coma↗