Anesthesia: Essays and Researches  Login  | Users Online: 116 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
Home | About us | Editorial board | Ahead of print | Search | Current Issue | Archives | Submit article | Instructions | Copyright form | Subscribe | Advertise | Contacts
Year : 2011  |  Volume : 5  |  Issue : 2  |  Page : 153-157

Coma in the elderly: Etiological factors, management, and prognosis in the department of anesthesia and intensive care

1 Department of Anesthesia and Intensive Care of Gabriel, TOURE Teaching Hospital, Bamako, Mali
2 Department of Neurology of Gabriel, TOURE Teaching Hospital, Bamako, Mali
3 Department of Anesthesia and Resuscitation in Hospital of Segou, Mali
4 Department of Anesthesia in Ophthalmological Tropical African Institute Teaching Hospital, Bamako, Mali
5 Department of Anesthesia Resuscitation Emergency of Point G Teaching Hospital, Bamako, Mali

Correspondence Address:
D Diango
Anaesthesiologist, Senior Lecturer, Department of Anesthesia and Intensive Care of Gabriel, TOURE Teaching Hospital, Bamako
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0259-1162.94755

Rights and Permissions

Objective : To study the etiologies, therapeutic and prognosis factors of coma in the elderly in the Department of Anesthesia and Intensive Care of Gabriel TOURE Teaching Hospital, Mali. Materials and Methods: This was a prospective descriptive study of all cases of coma in the elderly, registered from February 1, 2008 to January 31, 2009 at the Department of Anesthesiology CHU Gabriel Touré, Bamako. Results: During the study period, 564 patients were admitted to the intensive care unit (ICU) in which 174 (30.85%) were older people. We collected 100 subjects with impaired consciousness, the object of our study, which represented 17.73% of all admissions in the Department of Anesthesiology during the study period and 57.47% of all admissions of older people; 66% of our subjects were male. Hypertensive patients accounted for 60% of cases. In 46% of cases, it was a coma from cardiovascular causes and in 28% of cases; it was a coma of metabolic origin. The diagnoses made in the wake of the care of the elderly in ICU were predominantly stroke (46%) and electrolyte disturbances (13%). The coma was sudden onset in 58% of cases, including 28 cases of stroke whether 48.27%. The prognosis was marked by a fatality with 51% of deaths in our sample. Conclusion: The prognosis improvement of the elderly in coma through to the introduction of proxy measures.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded102    
    Comments [Add]    

Recommend this journal