| Coma en el anciano: Factores etiológicos, tratamiento y pronóstico en el departamento de anestesia y terapia intensiva |
Coma in the elderly: Etiological factors, management, and prognosis in the department of anesthesia and intensive care.
Diango D, Moghomaye M, Maiga Y, Beye SA, Dembele AS, Coulibaly Y, Diallo A.
Anesth Essays Res [serial online] 2011 [cited 2012 Apr 9];5:153-7.Objective : To study the etiologies, therapeutic and prognosis factors of coma in the elderly in the Department of Anesthesia and Intensive Care of Gabriel TOURE Teaching Hospital, Mali. Materials and Methods: This was a prospective descriptive study of all cases of coma in the elderly, registered from February 1, 2008 to January 31, 2009 at the Department of Anesthesiology CHU Gabriel Touré, Bamako. Results: During the study period, 564 patients were admitted to the intensive care unit (ICU) in which 174 (30.85%) were older people. We collected 100 subjects with impaired consciousness, the object of our study, which represented 17.73% of all admissions in the Department of Anesthesiology during the study period and 57.47% of all admissions of older people; 66% of our subjects were male. Hypertensive patients accounted for 60% of cases. In 46% of cases, it was a coma from cardiovascular causes and in 28% of cases; it was a coma of metabolic origin. The diagnoses made in the wake of the care of the elderly in ICU were predominantly stroke (46%) and electrolyte disturbances (13%). The coma was sudden onset in 58% of cases, including 28 cases of stroke whether 48.27%. The prognosis was marked by a fatality with 51% of deaths in our sample. Conclusion: The prognosis improvement of the elderly in coma through to the introduction of proxy measures.
Keywords: Comatose, elderly, management, prognosis
http://www.aeronline.org/text.asp?2011/5/2/153/94755
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