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[Coma states induced by craniocerebral injuries in children. Review of 20 cases]
Insights
Pediatric critical care unit admissions reveal that while coma severity doesn't always correlate with mass lesions, their presence indicates a grave prognosis for children.
Area of Science:
- Pediatric critical care medicine
- Neurology
- Intensive care research
Context:
- Analysis of 20 pediatric critical care unit admissions over two years at the University of Granada.
- Focus on children experiencing coma due to organic etiology.
Purpose:
- To analyze the etiology, onset, intensity, evolution, complications, and short-term outcomes of pediatric coma.
- To compare incidence and prognosis with existing literature and outline therapeutic strategies.
Summary:
- Coma severity and duration showed no definitive relationship with mass lesions.
- Associated mass lesions were identified as a significant indicator of poor prognosis.
- Two distinct patient groups emerged: immediate coma post-injury and those with a lucid interval.
Impact:
- Highlights the critical role of immediate monitoring and management of extracranial variants in pediatric coma.
- Emphasizes prompt diagnosis and treatment of the primary cause for improved therapeutic response.
- Informs clinical practice for managing pediatric coma patients in critical care settings.
Abstract:
From a total of three-hundred and fifty-six children admitted into the Department of Pediatrics at the Hospital Clínico of the University of Granada during of period of two years, twenty cases that needed admittance in critical pediatrics care unit are revised. Organic etiology that provoked coma, time of appearance, intensity, evolution, complications and short term outcome are analysed. A comparison is made of the incidences and prognosis of this type of coma with that of other authors presenting therapeutic outline carried. Two large evolutive groups; one which consisted of nine patients which entered into coma immediately after injury. The second group includes those patients which had lucid period before entering into coma. Following conclusions have been withdrawn: Severity and duration of coma does not have a definite relationship with the existence of a mass-lesion. Presence of an associated--mass-lesion is a sign of grave prognosis. For a good therapeutic response the following approaches are necessary: Immediate assistance monitoring and periodic or systematic maintenance of extracranial variants diagnostic, and treatment of the primary causing factor.