CLINICAL PROFILE OF NONTRAUMATIC COMA IN CHILDREN
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 23
Abstract
BACKGROUND There is an increasing awareness that non traumatic coma is an important source of morbidity and mortality in the paediatric age group. These children make heavy demands on paediatric intensive care unit and neurorehabilitation resources. Coma is recognized to be a nonspecific sign with a wide potential differential diagnosis. METHODS This study was carried out over a period of two years in a tertiary care center. First 100 children between 1 month to 12 years old were included. A detailed clinical history was taken in each case. All patients were examined thoroughly, and all possible investigations like haematological, biological, microbiological, CSF, radiological, CT scan, and EEG were performed as and when required. Modified Glasgow coma scale was applied. RESULTS In the present study, 100 cases of nontraumatic coma with MGCS score less than 12 for more than 6 hours were studied. More than 50% cases i.e. 54 cases (54%) where of CNS infections while 13 cases (13%) of epilepsy, 18 cases (18%) of metabolic disorders, 7 cases (7%) of hypoxic ischemic encephalopathy and 8 cases (8%) of intoxication were observed. Age wise distribution of nontraumatic coma infants (27%), toddlers (16%), pre-schoolers (29%) and school going (28%) was noted. 44.44% mortality is observed in CNS infections. CONCLUSIONS In this study, maximum number of cases of CNS infections were seen in infants. However, epilepsy, metabolic disorders and hypoxia-ischemic encephalopathy were seen in school going, pre-schoolers and infants respectively. In intoxication maximum number of cases were equally distributed in pre-schoolers and school going children. However, CNS infections was the predominant cause of nontraumatic coma in all the groups. Mortality is highest in CNS infections and in infantile age group.
Authors and Affiliations
Pankaj Vijaykumar Barabde, Pratibha Vinay Kale
Keywords
Related Articles
- EP ID EP667299
- DOI 10.18410/jebmh/2019/328
- Views 90
- Downloads 0
RUPTURE UTERUS: ANALYSIS OF RISK FACTORS AND FETOMATERNAL OUTCOME
Rupture uterus is a potentially catastrophic event with high maternal and perinatal mortality. It is a preventable condition. Most common cause of rupture uterus is a scarred uterus, reflecting the danger of rise in caes...
ROLE OF MRI IN ROTATOR CUFF INJURIES
BACKGROUND Rotator cuff unit plays an important role in the normal functioning of the shoulder joint and any injury to these muscles will lead to potential clinical consequences. Hence, it is necessary to understand its...
A CASE OF ATYPICAL PLACENTAL LARGE CHORIOANGIOMA
Chorioangioma of placenta is a relatively rare tumor (0.65-1%), most often it goes unnoticed and presents with complications and hence it has potential serious maternal and fetal risk, necessitating close supervision. We...
VITAMIN D AND PAIN: THE LINK- A STUDY IN ODISHA AMONGST URBAN POPULATION
BACKGROUND Vitamin D is necessary for calcium homeostasis, skeletal growth, development, maintenance and overall wellbeing. It is synthesized in the body by exposure to UV-B rays of the sunlight by the skin. India though...
EVALUATION OF AIRWAY AND PREDICTING DIFFICULT ENDOTRACHEAL INTUBATION IN DIABETIC PATIENTS- A COMPARISON WITH NONDIABETIC PATIENTS
BACKGROUND The aim of this study is to evaluate the various clinical parameters of airway assessment and their ability to predict difficult laryngoscopy and intubation in diabetic patients as compared to nondiabetic pati...