Five-year follow-up study of patients with persistent vegetative state

Higashi, Kenichirô; Hatano, Makoto; Abiko, Seisho; Ihara, Kenichiro; Katayama, Shin–ichi; Wakuta, Yukio; Okamura, Takayuki; Yamashita, Toshinari

doi:10.1136/jnnp.44.6.552

Cited by 90 publications

(17 citation statements)

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“…Comparison with the few other studies of longterm care is impossible, because these include developmental or degenerative disorders [14][15][16]. Single case reports have shown similar co-morbidity (constipation, contractures and infections) [17][18][19][20].…”

Section: Discussionmentioning

confidence: 98%

Events and decision-making in the long-term care of Dutch nursing home patients in a vegetative state

et al. 2005

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Section: Discussionmentioning

confidence: 98%

Events and decision-making in the long-term care of Dutch nursing home patients in a vegetative state

et al. 2005

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“…Die Eingangskriterien der von uns erfaßten Arbeiten sind nicht einheitlich. Die meisten Autoren untersuchen den Verlauf von traumatischen Hirnschäden, einzelne Autoren verfolgen ätiologisch heterogene Gruppen [8,19,21,22]. Auch die Dauer der initialen Bewußtlosigkeit Die Überlebenschancen nach schweren Schädigungen des Gehirns haben sich mit dem Ausbau der Intensivmedizin verbessert.…”

Section: Methodikunclassified

“…Ihre mittlere Überlebenszeit wird in der Literatur mit 3,5-5 Jahren angegeben [8,15,19,20]. In Einzelfällen sind Überlebenszeiträume bis zu 41 Jahren beschrieben [zit n. 22].…”

Section: Krankheitsverlauf Dauerhaft Apallischer Patientenunclassified

Die Prognose des apallischen Syndroms

Hagel¹,

Rietz²

1998

Der Anaesthesist

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This study evaluates the available literature about the prognosis of patients with apallic syndrome and similar illnesses. Different therapeutic strategies are not relevant in this review. The variation of the reported material did not permit a statistical metaanalysis. However, many interesting points of view could be elaborated leading to positive assistance in everyday situations. The chance of survival and the long-term outcome of comatose patients decrease with an increase in the age of the patient, the length and the degree of the coma. Cerebral predamage worses the long-term prognosis. Traumatic head injuries have a better prognosis than nontraumatic. Children (under 18 years of age) have a better prognosis than adults. The course of the oculomotoric symptoms can be used as a prognostic criterion. The somatosensory evoked potentials in the early phase correlate with the survival-chance and the long-term prognosis. The initial speed of recovery correlates with the long term outcome. Children and adults with traumatic apallic syndrome may recover over a period of 12 months. For apallic patients with other etiologies this time limit is 3 months. Few cases of recovery have been described outside these time limits. The average survival limit of permanent apallic patients is between 3 and 5 years. Particular patients have survived decades.

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“…Overall, the available data (based on 251 patients in four large series) indicate that the mortality rate for adults in a persistent vegetative state after an acute brain injury is 82% at three years and 95% at five years [18][19][20][21]. Life expectancy ranges from 2 to 5 years; survival beyond 10 years is unusual [22].…”

Section: Discussionmentioning

confidence: 99%

Living for 11 years in a Permanent Vegetative State – case report

Sandutu¹,

Rusmir²,

Jula³

2014

Arch Clin Cases

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The Vegetative State, term introduced more than 40 years ago, is described as a disorder of consciousness. It represents the by-product of modern intensive care, an unintended consequence of the increased ability to manage neurological damage. The life span of patients in such a state is substantially reduced. For most, life expectancy ranges from 2 to 5 years and survival beyond 10 years reported as being unusual. This article presents a case report, therapeutic management and inhome patient care of a 55 year-old male, who lived in a permanent vegetative state for 11 and a half years.

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Five-year follow-up study of patients with persistent vegetative state

Cited by 90 publications

References 1 publication

Events and decision-making in the long-term care of Dutch nursing home patients in a vegetative state

Events and decision-making in the long-term care of Dutch nursing home patients in a vegetative state

Die Prognose des apallischen Syndroms

Living for 11 years in a Permanent Vegetative State – case report

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