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22 maj 2024 · The vegetative and minimally conscious states (MCS) are clinically defined syndromes. Importantly, prognosis for recovery can vary depending on the underlying etiology and differs between patients who have hypoxic-ischemic versus traumatic brain injury [7].
Clinical trials showed that 27% of post-hypoxic coma patients regained consciousness within 28 days, 9% remained comatose or in an unresponsive wakefulness syndrome (UWS), and 64% died [3, 4]. In another prospective clinical study, 18.6% of patients stayed in an UWS [5].
17 cze 2015 · Results. 75.3% had a poor outcome (defined as BI <50). 38 (40.9%) patients were discharged to a nursing care facility, 21 (22.6%) to subsequent rehabilitation, 17 (18.3%) returned home, 9 (9.7%) needed further acute-care hospital treatment and 8 (8.6%) died.
24 cze 2021 · Summary. Guideline-recommended treatment of HIBI includes early, optimal cardiopulmonary resuscitation to prevent primary brain injury, and targeted temperature management to mitigate secondary brain injury.
1 sty 2024 · Abstract. Hypoxic–ischaemic brain injury (HIBI) is the main cause of prolonged or permanent neurological impairment and poor neurological outcomes in patients post-cardiac arrest (CA). CA causes an extensive brain injury of variable degree whose outcomes vary from complete recovery to severe disability or death.
Global hypoxic-ischemic injury (HII) to the brain is a significant cause of mortality and severe neurologic disability. Imaging plays an important role in the diagnosis and treatment of HII, helping guide case management in the acute setting and providing valuable information about long-term prognosis. Appropriate radiologic diagnosis of HII ...
One meta-analysis found that of 98 patients with HIBI after cardiac arrest, 42% had evi-dence of cortical ischemic changes on diffusion-weighted imaging (DWI), 34% had global ischemia, 16% had basal ganglia injury, and 8% had injury in other areas including the cerebellum, hippocampus, and brainstem [12].