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Background:Coma is a highly frequent situation associated with several diseases.Objective: That is to assess the prognostic factors of comas at the intensivecare unit of the university teaching hospital of Parakou. Patients and Methods:It is a cross-sectional study with descriptive and analytical purpose based onprospective gathering of data. It has been performed from March 1 to July 31,2014. The population study consists of 100 adult patients admitted to theintensive care unit for coma. The vital and functional prognosis data arestudied. Results: The admission frequency of comatose patients to the intensivecare unit is 44.4%. Patients’ mean age is 27 ± 13.9 years with extremes of 16and 88 years. The average length of stay in the intensive care unit is 5.2 ±5.6 days with extremes of 2 hours 30 minutes and 30 days. Mortality rate is30%. Poor prognostic factors are: average Glasgow score of 6.8 ± 2.9 p = 0.01, average outpatient simplifiedseverity index OSSI of 9.1 ± 3.5 p = 0.02, pupillary abnormality p = 0.00,motor weakness p = 0.00, averageglycemia of 1.5 ± 0.82 g-L p =0.02, average systolic blood pressure of 130.9 ± 44.5 mm Hg p = 0.03, average diastolic bloodpressure of 80.8 ± 22.3 mm Hg p =0.03, average respiratory rate of 30.9 ± 10.6 cycles-min p = 0.03 and average temperature of 37.8°C ± 1.2°C p = 0.03. Conclusion: Coma is apathological entity with high frequency in clinical medicine. Its positivediagnosis is easy, but etiological research is hard. Hospital mortality is highand influenced by several factors. Taking into account, those factors in carestrategies can improve their prognosis.

KEYWORDS

Coma, Prognostic Factors, Morbidity, Mortality

Cite this paper

Adelin, T. , Armel, A. , Eugene, Z. , Donald, M. and Thomas, L. 2015 Prognostic Factors of Comas in the Intensive Care Unit of the University Teaching Hospital of Parakou Benin. Journal of Behavioral and Brain Science, 5, 503-512. doi: 10.4236-jbbs.2015.511048.





Autor: Tchaou Blaise Adelin1*, Adoukonou Thierry Armel2, Zoumenou Eugene3, Mehou Loko Ulrich Donald4, Lokossou C. Thomas3

Fuente: http://www.scirp.org/



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