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Survival and clinical characteristics of patients with disorders of consciousness in a developing country between 2002 and 2018.
Cornejo-Suil, Viviana; Rivera-Lillo, Gonzalo; Melo-Martínez, Rodrigo; Covarrubias-Escudero, Felipe; Marín-Godoy, Nicolás; Torres-Castro, Rodrigo.
Afiliação
  • Cornejo-Suil V; Occupational Therapy Department, Faculty of Health, Universidad Santo Tomás, Puerto Montt, Chile.
  • Rivera-Lillo G; Physical Therapy Department, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
  • Melo-Martínez R; Neuroscience Department, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
  • Covarrubias-Escudero F; Physical Therapy Department, Faculty of Health and Social Sciences, University de Las Americas, Santiago, Chile.
  • Marín-Godoy N; Physical Therapy Department, Faculty of Health and Social Sciences, University de Las Americas, Santiago, Chile.
  • Torres-Castro R; Department of Kinesiology, Faculty of Art and Physical Education, Universidad Metropolitana de Ciencias de la Educación, Santiago, Chile.
Brain Inj ; : 1-8, 2024 Oct 16.
Article em En | MEDLINE | ID: mdl-39410832
ABSTRACT

OBJECTIVE:

Describe the survival, sociodemographic and clinical characteristics of subjects with disorders of consciousness in a reference rehabilitation center, in a developing country.

METHODS:

Patients with disorders of consciousness (DoC) caused by acquired neurological injuries, admitted between the years 2002-2018 in a neurorehabilitation center. Extracted data covered demographics, clinical details, survival time, and discharge information. Cox proportional hazard model and Kaplan-Meier analysis were used to reveal, associations with survival.

RESULT:

Out of 5064 neurological cases, 159 patients were diagnosed with DoC. The demographic data showed a male dominance (65%), with an average injury age of 42 years. The most common causes were traumatic (41%), anoxic (36%), and vascular (10%), with traffic accidents accounting for 71% of traumatic injuries. The study found that 75% of patients remained in a vegetative state (VS), and 25% in a minimally conscious state (MCS), with an average survival of 2110 days.

CONCLUSION:

There were no significant differences in survival days between patients in MCS and VS. Patients with traumatic injuries showed a higher survival rate than those with non-traumatic injuries. Age and etiology were identified as factors associated with a higher risk of death.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Brain Inj Assunto da revista: CEREBRO Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Brain Inj Assunto da revista: CEREBRO Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido