Navegando por Palavras-chave "Coma"

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    Audiometria de tronco cerebral nos pacientes em coma: estudo das ondas e evolução clínica
    (Universidade Federal de São Paulo (UNIFESP), 1994) Macedo, Júlio Cesar Ferreira de [UNIFESP]
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    Estudo clínico e eletrencefalográfico de pacientes pós-parada cardiorrespiratória
    (Universidade Federal de São Paulo (UNIFESP), 2017-03-29) Veras, Rene Werton [UNIFESP]; Braga, Nadia Iandoli de Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To evaluate the prognostic accuracy of the electroencephalogram in postcardiac arrest patients with impaired consciousness. Methods: 29 patients with impaired consciousness after cardiac arrest were included in a prospective cohort. EEGs records were obtained between 24 to 48 hours (EEG2), 72 hours to one week (EEG3), and when possible in less than 24 hours (EEG1) after the cardiac arrest. The tracings were categorized into favorable, intermediate and unfavorable patterns, according to previous publications, and reactivity to stimuli was classified as present or absent. The outcome was measured by the Cerebral Performance Category, evaluated after 30 days. Results: bad outcome occurred in 79.3% of patients. The most common PCR causes were related to cardiac infarction and sepsis. The median age and resuscitation time were higher in the group with poor outcome, but it was not possible to correlate these variables with the outcome. The likelihood ratio for poor outcome in patients without EEG reactivity was 2.65 between 24 to 48 hours, and 7.99 between 72 hours to one week, but this finding was statistically significant only in the latter period. The likelihood ratio for poor outcome in patients with unfavorable EEG pattern was 4.64 between 24 to 48 hours, and 10.9 between 72 hours to one week (p <0.05 in both periods). The sensitivity of an unfavorable EEG to predict poor outcome was 80% for EEG1 and EEG2, and the prognostic accuracy was 79% and 83%, respectively. Conclusion: The EEG is a strong tool to predict poor outcome in patients with impaired consciousness after cardiac arrest, and can be performed as early as 24 hours after resuscitation.
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    Estudo da frequencia e das caracteristicas clinicas e tomograficas dos hematomas intraparenquimatosos cerebrais lobares primarios
    (Universidade Federal de São Paulo (UNIFESP), 1992) Massaro, Ayrton Roberto [UNIFESP]
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    Hematoma extradural: estudo comparativo entre pacientes em coma e não comatosos
    (Universidade Federal de São Paulo (UNIFESP), 1990) Mello, Luis Renato Garcez de Oliveira [UNIFESP]; Ferraz, Fernando Antonio Patriani [UNIFESP]