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abr. 2006
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| _version_ | 1869362456219877379 |
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| building | Biblioteca Facultad de Medicina |
| format | Book |
| fullrecord | oai:netcat:be-dblil-75
BR1.1
LILACS
LILACSEXPRESS
MEDLINE
S
as
Internet
<i>http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000400006&lng=pt&nrm=iso&tlng=es</i>
Coma anóxico-isquÚmico en 46 pacientes: Evolución a treinta dÝas y su relación con los reflejos de tronco
The absence of brainstem reflexes does not predict short term mortality in anoxic ischemic coma
Rev. mÚd. Chile
134
4
0034-9887
tab
Es
En
abr. 2006
20060400
39
Background: Anoxic-ischemic coma has a poor outcome with a high rate of mortality and morbidity. Therefore, clinical predictors of prognosis are needed for therapeutic decision-making. Patients and methods: Prospective analysis of 46 patients, 31 male, age range 19-85 years, with anoxic-ischemic coma following cardiac arrest. All the patients included in our study remained comatose with a Glasgow Coma Scale (GCS) score of six or less points, after their stabilization in the Intensive Care Unit. They were evaluated clinically using the pupillary light reflex, corneal reflex and vestibulo-ocular reflex testing, induced by caloric stimulation with cold water. Survival was evaluated using life tables. All patients were followed until the thirtieth day after the anoxic-ischemic event. Results: Thirty five patients (76%) died within the next twenty-nine days, 8 patients (18%) reached the vegetative state, 2 patients (4%) achieved a recovery with disability, and only 1 patient (2%) was discharged without sequelae. One day, five and 30 days survival rates were 89, 53 and 29%, respectively. The abolition of all brainstem reflexes was not a predictor of mortality. Conclusion: Thirty day survival in this group of patients was 29% and the absence of brainstem reflexes was not a predictor of mortality.(AU)
2006-06-09
20060609
SCIELO
JA
FONTE
428543
<d>BIREME_LXP</d>
<s>S0034-98872006000400006</s>
Lay-son R., Luis
<s1>Universidad de Santiago de Chile</s1>
<s2>Hospital Barros Luco-Trudeau</s2>
<c>Santiago</c>
<p>Chile</p>
Varas F., Patricio
<s1>Universidad de Santiago de Chile</s1>
<s2>Hospital Barros Luco-Trudeau</s2>
<c>Santiago</c>
<p>Chile</p>
<f>441</f>
<l>446</l>
75
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| id | oai:netcat:be-dblil-75 |
| institution | UMSS |
| publishDate | abr. 2006 |
| record_format | abcd |
| spellingShingle | Registro ABCD - ID: oai:netcat:be-dblil-75 |
| title | Registro ABCD - ID: oai:netcat:be-dblil-75 |
| url | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000400006&lng=pt&nrm=iso&tlng=es |