Difference between revisions of "COMA-PROGNOSTIC FACTORS"
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<br/>1. TBI | <br/>1. TBI | ||
<br/>2. < 28 days in DOC | <br/>2. < 28 days in DOC | ||
<br/>3. Lower age or less comorbidities | <br/>3. Lower age or less comorbidities | ||
<br/>4. MCS + | <br/>4. MCS + | ||
Latest revision as of 02:29, 21 March 2023
SUMMARY
Positive (greater chance of emergence & better functional outcome):
1. TBI
2. < 28 days in DOC
3. Lower age or less comorbidities
4. MCS +
5. Higher rate of change in the Coma Recovery Scale
Negative:
1. Hypoxic/metabolic injury
2. Greater structural injury: DAI/focal injury on MRI
3. Prolonged UWS or MCS -ve
4. Chronic DOC of all types
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
