Source:http://linkedlifedata.com/resource/pubmed/id/16243222
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2005-10-24
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pubmed:abstractText |
This study was designed to determine whether the observed reactive electroencephalographic patterns in comatose children were associated with a better outcome. All electroencephalograms performed in comatose children aged 2 months to 18 years during the period 1996-2003 were retrospectively analyzed and classified according to modified Young's classification. Reactivity to painful/auditory stimuli and passive eye closure (at least two modalities) was checked in all electroencephalograms. The clinical outcome at 1 year or during the last clinic/inpatient follow-up was scored according to the Pediatric Cerebral and Overall Performance Category Scale. Outcomes were then compared using Fisher exact test and the Mann-Whitney test. Thirty-three patients had electroencephalography within 72 hours after the onset of coma. Fourteen of 33 electroencephalograms revealed reactive patterns. Outcome was unfavorable in 4 (28.6%) of these patients. Three children had no residual neurologic impairment. Among the 19 children with nonreactive electroencephalogram, 13 (65%) had unfavorable outcome, which included 10 deaths. All the survivors had residual neurologic impairment. Outcome was better in children with reactive electroencephalographic patterns (Fisher exact test; P = 0.023). Comatose children with reactive electroencephalographic patterns have better clinical outcome in terms of morbidity and mortality. A careful assessment of electroencephalographic reactive patterns in all comatose children is required for better understanding of the clinical outcome.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0887-8994
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
345-9
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pubmed:dateRevised |
2006-5-23
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pubmed:meshHeading |
pubmed-meshheading:16243222-Adolescent,
pubmed-meshheading:16243222-Child,
pubmed-meshheading:16243222-Child, Preschool,
pubmed-meshheading:16243222-Coma,
pubmed-meshheading:16243222-Electroencephalography,
pubmed-meshheading:16243222-Humans,
pubmed-meshheading:16243222-Infant,
pubmed-meshheading:16243222-Predictive Value of Tests,
pubmed-meshheading:16243222-Prevalence,
pubmed-meshheading:16243222-Prognosis,
pubmed-meshheading:16243222-Retrospective Studies
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pubmed:year |
2005
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pubmed:articleTitle |
Reactive EEG patterns in pediatric coma.
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pubmed:affiliation |
Division of Neurology, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Ontario, Canada.
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pubmed:publicationType |
Journal Article
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