Risk Factors for Death or Severe Disability in Comatose Patients

Evaluation

Are you evaluating a comatose patient on day 3 after coma onset?

Yes

Age of the patient

years

Does the patient show an abnormal brain stem response?

Yes

Does the patient respond to verbal stimuli?

Yes

Does the patient withdraw from painful stimuli?

Yes

Serum creatinine

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors for poor outcome present

Predicted mortality at 2 months based on total number of risk factors

Risk of poor outcome at 2 months based on brain stem response or motor response to pain

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Severe Traumatic Brain Injury Risk Factors for Unfavorable Outcome
- Predictors for Persistent Postconcussion Syndrome (PCS)
Severity, Prognosis, Stage

Therapy

Options
- Outcome Prediction Score For Adults with Severe Head Injury
Selection
- Outcome Prediction Score For Adults with Severe Head Injury

Monitoring

Response To Therapy
- Outcome Prediction Score For Adults with Severe Head Injury
Complication Detection
- Postconcussion Syndrome (PCS) Following Traumatic Brain Injury

Patient Concerns

Disability And Performance

Specialty

Sports Medicine & Rehabilitation
Neurology

Objective

risk factors
severity
prognosis
stage

ICD-10

R40.2 - Coma, unspecified

Risk Factors of Hamel for Death or Severe Disability in Comatose Patients

Purpose: To identify comatose patients at risk for death or severe disability within a few days of onset.