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Outcome of coma in children
Hubert K Trübel1, Edward Novotny, George Lister
1Department of Pediatrics, Yale University Medical School, New Haven, Connecticut 06520, USA.
Current Opinion in Pediatrics
|June 14, 2003
Summary
Predicting outcomes for children in a coma after hypoxic-ischemic events is crucial. This review examines factors like physical findings and lab tests to help clinicians determine prognosis early.
Area of Science:
- Pediatric critical care medicine
- Neurology
- Clinical outcomes research
Background:
- Coma following hypoxic-ischemic events is a critical pediatric condition.
- High mortality and morbidity rates necessitate early prognosis strategies.
- Limited research exists on pediatric coma outcome prediction compared to adults.
Purpose of the Study:
- To review factors predicting outcome in pediatric non-traumatic coma.
- To guide clinicians in early prognostic assessment.
- To explore current and emerging prognostic tools.
Main Methods:
- Literature review of studies on pediatric coma.
- Analysis of factors influencing outcomes in non-traumatic coma.
- Discussion of physical findings, laboratory tools, and newer techniques.
Main Results:
- Key physical findings and accessible laboratory results correlate with pediatric coma outcomes.
- Established prognostic factors from adult studies may apply to children.
- Emerging technologies show potential for improved prognostic accuracy.
Conclusions:
- Accurate prognosis in pediatric coma is essential for guiding treatment and family counseling.
- A combination of clinical assessment and diagnostic tools aids in predicting outcomes.
- Further research into novel techniques is warranted for enhanced prognostic capabilities.