PubMed Health⌕ Search

PubMed · 7872463

[Coma: a new humanistic discipline].

Abstract

Two researches merge together in this article: the former originates in coma clinical practice and aims at reaching a more abstract formulation, while the latter originates in the theory of narrative and tries to find practical applications. The interest of this merger lies in opening up a new field of study, comatics, whose object is to conceive the best possible conditions for comatose people, for specific varieties of comatose people and even for this or that individual comatose person to fit back into social life, which involves grasping meaning and clues and signals and signs, and finding one's way about in the circuit of communication. Comatics, in short, is semiotics as applied to awakening from comatose states.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

M Costantini. 1993. [Coma: a new humanistic discipline].. https://pubmed.ncbi.nlm.nih.gov/7872463/

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

KEEP EXPLORING

Related citations

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↗