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Ned Tijdschr Geneeskd · Feb 2008
Review[Prognosis for patients in a coma following cardiopulmonary resuscitation].
- J Horn, E G J Zandbergen, J H T M Koelman, and A Hijdra.
- Afd. Intensive Care, Academisch Medisch Centrum/Universiteit van Amsterdam, Postbus 22.700, 1100 DE Amsterdam. j.horn@amc.uva.nl
- Ned Tijdschr Geneeskd. 2008 Feb 9;152(6):308-13.
AbstractMost patients with post-anoxic coma after resuscitation have a poor prognosis. Reliable prediction of poor outcomes (death or vegetative state after 1 month; death, vegetative state or severe disability after at least 6 months) at an early stage is important for both family members and treating physicians. Poor outcome can be predicted with 100% reliability in the first 3 days after resuscitation in about 80% of patients using pupillary and corneal reflexes and motor response from the neurological examination, cortical responses from somatosensory evoked potentials and EEG. The predictive value of a status epilepticus or serum levels of neuron-specific enolase is uncertain at this time. In contrast to poor outcomes, good neurological recovery cannot be predicted reliably at this time.
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