Effect of arousal methods for 175 cases of prolonged coma after severe traumatic brain injury and its related factors.
- Author:
Ji-Yao JIANG
1
;
Ying-Hui BO
;
Yu-Hua YIN
;
Yao-Hua PAN
;
Yu-Min LIANG
;
Qi-Zhong LUO
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Brain Injuries; therapy; Child; Child, Preschool; Coma, Post-Head Injury; therapy; Female; Glasgow Coma Scale; Humans; Male; Middle Aged; Recovery of Function; Treatment Outcome
- From: Chinese Journal of Traumatology 2004;7(6):341-343
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo determine the effect of arousal methods for prolonged coma of 175 patients with severe traumatic brain injury and related factors.
METHODSThere 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.
RESULTSIn 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.
CONCLUSIONSApplication of appropriate arousal procedures improves recovery of consciousness in patients with prolonged coma.
