COMA-PROGNOSTIC FACTORS

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].