Abstract:
To determine the effect of arousal methods for prolonged coma of 175 patients with severe traumatic brain injury and related factors. There were 175 cases with persistent coma longer than 1 month after severe traumatic brain injury. Coma lasted 1-12 months. Arousal procedures included hyperbaric oxygen, physical therapy and arousal drugs. In the 175 prolonged coma patients 110 got recovery of consciousness; in 118 cases with coma of 1-3 months, 86 cases recovered consciousness (72.9%); in 42 cases with coma of 4-6 months, 20 cases recovered consciousness (47.6); and in 15 cases with coma of longer than 6 months, only 4 cases recovered consciousness (26.7%). The recovery of consciousness depended on patient’s primary brain stem damage, cerebral hernia, GCS score, and age. Application of appropriate arousal procedures improves recovery of consciousness in patients with prolonged coma.
Jiang, Bo, Yin, Pan, Liang, Luo, , , (2004). Effect of arousal methods for 175 cases of prolonged coma after severe traumatic brain injury and its related factors. Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2004 Dec;7(6):341-3. https://www.ncbi.nlm.nih.gov/pubmed/15566689