Neurology Specific Literature Search   
 
[home][thesaurus]
    
Click Here to return To Results

 

Early Prognosis in Coma After Cardiac Arrest:A Prospective Clinical, Electrophysiological, and Biochemical Study of 60 Patients
JNNP 61:610-615, Bassetti,C.,et al, 1996
See this aricle in Pubmed

Article Abstract
Within the first year after cardiac arrest,20%of patients made a good neurologic recovery;80%remained in a vegetative state or died.Clinical examination correctly predicted outcome in 58%of patients,SEP in 59%,and EEG in 41%.The combination of clinical examination,SEP,and EEG raised the percentage of correct predictions to 82%,without false pessimistic predictions.Concentrations of serum neuron specific enolase and ionised calcium were of no additional prognostic help.Multivariate regression analysis identified the association of CGS<8 at 48 hours with abnormal or absent early cortical SEPs at highly predictive of a bad outcome(risk=97%, 95%confidence interval=86-99%).The combination of GCS at 48 hours,SEP,and if these are nonconclusive,EEG,permits more reliable prediction of outcome in postanoxic coma than clinical examination alone.
 
Related Tags
(click to filter results - removes previous filter)

cardiac arrest
cardiac arrest and resuscitation
coma
coma,prognosis of
encephalopathy,anoxic
evoked potentials
Glasgow coma score
hypoxic encephalopathy
neurologic evaluation
neurologic examination
prognosis
somatosensory evoked potentials

Click Here to return To Results