Document Detail

Effect of arousal methods for 175 cases of prolonged coma after severe traumatic brain injury and its related factors.
MedLine Citation:
PMID:  15566689     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the effect of arousal methods for prolonged coma of 175 patients with severe traumatic brain injury and related factors. METHODS: There were 175 cases with persistent coma longer than 1 month after severe traumatic brain injury. Coma lasted 1-12 months. Arousal procedures included hyperbaric oxygen, physical therapy and arousal drugs. RESULTS: In the 175 prolonged coma patients 110 got recovery of consciousness; in 118 cases with coma of 1-3 months, 86 cases recovered consciousness (72.9%); in 42 cases with coma of 4-6 months, 20 cases recovered consciousness (47.6); and in 15 cases with coma of longer than 6 months, only 4 cases recovered consciousness (26.7%). The recovery of consciousness depended on patient's primary brain stem damage, cerebral hernia, GCS score, and age. CONCLUSIONS: Application of appropriate arousal procedures improves recovery of consciousness in patients with prolonged coma.
Ji-Yao Jiang; Ying-Hui Bo; Yu-Hua Yin; Yao-Hua Pan; Yu-Min Liang; Qi-Zhong Luo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chinese journal of traumatology = Zhonghua chuang shang za zhi / Chinese Medical Association     Volume:  7     ISSN:  1008-1275     ISO Abbreviation:  Chin. J. Traumatol.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-11-29     Completed Date:  2005-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886162     Medline TA:  Chin J Traumatol     Country:  China    
Other Details:
Languages:  eng     Pagination:  341-3     Citation Subset:  IM    
Department of Neurosurgery, Renji Hospital, Shanghai Second Medical University, Shanghai 200001, China.
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MeSH Terms
Brain Injuries / therapy*
Child, Preschool
Coma, Post-Head Injury / therapy*
Glasgow Coma Scale
Middle Aged
Recovery of Function
Treatment Outcome

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