Early clinical predictive factors during coma recovery

R. Formisano, U. Bivona, F. Penta, M. Giustini, M. G. Buzzi, P. Ciurli, M. Matteis, C. Barba, C. Della Vedova, V. Vinicola, F. Taggi

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

In severe brain injury patients few studies have examined the role of early clinical factors emerging before recovery of consciousness. Patients suffering from vegetative state and minimally conscious state in fact may need variable periods of time for recovery of the ability to follow commands. In a previous study we retrospectively examined a population of very severe traumatic brain injury patients with coma duration of at least 15 days (prolonged coma), and we found, as significant predictive factors for the final outcome, the time interval from brain injury to the recovery of the following clinical variables: optical fixation, spontaneous motor activity and first safe oral feeding. Psychomotor agitation and bulimia during coma recovery were also favourable prognostic factors for the final outcome. In a further study, also as for the neuropsychological recovery, the clinical variable with the best significant predictive value was the interval from head trauma to the recovery of safe oral feeding. In the present study the presence of psychomotor agitation diagnosed by means of LCF (score 4 = confused-agitated) at the admission time in rehabilitation predicted a statistically significant better outcome at the discharge time in comparison with patients without agitation.

Original languageEnglish
Title of host publicationActa Neurochirurgica, Supplementum
Pages201-205
Number of pages5
Edition93
DOIs
Publication statusPublished - 2005

Publication series

NameActa Neurochirurgica, Supplementum
Number93
ISSN (Print)00651419

Keywords

  • outcome
  • predictive factors
  • prolonged coma
  • psychomotor agitation
  • Traumatic brain injury

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Medicine(all)

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