Exact(5)
Objective: To evaluate the role that admission coma level plays in predicting recovery from coma secondary to anoxic brain injury.
A high percentage (46%) of these children were discharged in a state of near to no coma, independent of admission coma level.
Among the risk factors, the most prominent factors included breathing rate greater than 49 times per minute or less than 6 times per minute, peripheral oxygen saturation less than 75%%, and coma level with Glasgow coma score less than 5 points or AVPU scale (A: Alert, V: Verbal, P: Pain, U: Unresponsive) different from alert (Additional files 4 and 5).
During the next 48 hours, the coma level went deeper, reaching 6 on the Glasgow Scale.
Factors independently associated with increased mortality were coma level, type of findings in CT, complications, prolonged mechanical ventilation, length of stay, APACHE II, and the need for a tracheotomy.
Similar(55)
Another study [ 5] showed that decreased Glasgow Coma Scales level and methemoglobin levels were independent risk factors associated with DNS.
Glasgow Coma Scale level was 3 on April 15, and a decompressive craniectomy was done.
In a subgroup of seven patients with combined HT and barbiturate coma, daily levels of IL-6, IL-1β, TNFα, and leukocyte count in the cerebrospinal fluid and plasma were quantified [ 13].
DIND was defined by a delayed decrease of consciousness by at least two Glasgow Coma Scale levels and/or an increase ≥2 points on the abbreviated National Institutes of Health Stroke Scale and/or a new focal neurological deficit [ 16].
There were no significant differences in sex, age, lengths of hospitalization, proportions with hypertension and diabetes, distributions of diagnosis on admission, activity levels, Glasgow Coma Scale scores, blood urea nitrogen levels, glucose levels, and serum GOT levels between UR and non-UR patients.
She suddenly developed strong headache, blindness in the right part of her visual field, and she dropped to a Glasgow Coma Score (GCS) level of 12. Cerebral CT scanning showed a hemorrhage in the left occipital lobe (anterior part), surrounding subarachnoid space, and into the left lateral ventricle.
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