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Prognostic Factors of Comas in the Intensive Care Unit of the University Teaching Hospital of Parakou (Benin)

机译:帕拉库(贝宁)大学教学医院重症监护病房的预后因素

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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 intensive care unit of the university teaching hospital of Parakou. Patients and Methods: It is a cross-sectional study with descriptive and analytical purpose based on prospective gathering of data. It has been performed from March 1 to July 31, 2014. The population study consists of 100 adult patients admitted to the intensive care unit for coma. The vital and functional prognosis data are studied. Results: The admission frequency of comatose patients to the intensive care unit is 44.4%. Patients’ mean age is 27 ± 13.9 years with extremes of 16 and 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 is 30%. Poor prognostic factors are: average Glasgow score of 6.8 ± 2.9 (p = 0.01), average outpatient simplified severity index (OSSI) of 9.1 ± 3.5 (p = 0.02), pupillary abnormality (p = 0.00), motor weakness (p = 0.00), average glycemia 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 blood pressure 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 a pathological entity with high frequency in clinical medicine. Its positive diagnosis is easy, but etiological research is hard. Hospital mortality is high and influenced by several factors. Taking into account, those factors in care strategies can improve their prognosis.
机译:背景:昏迷是一种与多种疾病相关的高发状况。目的:评估帕拉库大学教学医院重症监护室昏迷的预后因素。患者和方法:这是一项横断面研究,其目的是基于前瞻性数据收集,具有描述性和分析性。该研究已于2014年3月1日至7月31日进行。该人群研究包括100名因重症监护而昏迷的成年患者。生命和功能的预后数据进行了研究。结果:昏迷患者进入重症监护病房的频率为44.4%。患者的平均年龄为27±13.9岁,极端年龄为16岁和88岁。重症监护病房的平均住院时间为5.2±5.6天,极端情况为2小时30分钟和30天。死亡率为30%。不良的预后因素包括:平均格拉斯哥评分为6.8±2.9(p = 0.01),平均门诊简化程度指数(OSSI)为9.1±3.5(p = 0.02),瞳孔异常(p = 0.00),运动无力(p = 0.00) ),平均血糖为1.5±0.82 g / L(p = 0.02),平均收缩压为130.9±44.5 mm Hg(p = 0.03),平均舒张压为80.8±22.3 mm Hg(p = 0.03),平均值呼吸频率为30.9±10.6个循环/分钟(p = 0.03),平均温度为37.8°C±1.2°C(p = 0.03)。结论:昏迷是临床医学中常见的病理实体。其阳性诊断容易,但病因研究困难。医院死亡率很高,并受多种因素影响。考虑到这些因素,护理策略可以改善其预后。

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