SciELO - Scientific Electronic Library Online

 
vol.134 número4Evaluación del efecto de una intervención cognitivo-conductual sobre los niveles de presión arterial en adultos mayores hipertensos bajo tratamiento médicoEstrés organizacional y salud en funcionarios de centros de atención primaria de una comuna de Santiago índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

Compartir


Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

LAY-SON R, Luis  y  VARAS F, Patricio. The absence of brainstem reflexes does not predict short term mortality in anoxic ischemic coma. Rev. méd. Chile [online]. 2006, vol.134, n.4, pp.441-446. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872006000400006.

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

Palabras clave : Brain ischemia; Brain stem; Coma; Hypoxia, brain.

        · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons