Critical Care Department, Finis Terrae University, Pedro de Valdivia 1509 Providencia, Santiago, Chile.
Critical Care Center, Clinica Las Condes Hospital, Estoril 450, Las Condes, Santiago, Chile.
Neurocrit Care. 2024 Oct;41(2):393-399. doi: 10.1007/s12028-024-01986-4. Epub 2024 Apr 22.
The purpose of this study was to assess the prevalence of coma among patients in critical care units in Chile. We also aimed to provide insight into the demographic characteristics, etiologies, and complications associated with coma.
A single day cross-sectional study was conducted through a national survey of public and private hospitals with critical and intensive cardiac care units across Chile. Data were collected using an online questionnaire that contained questions regarding critically ill patients' information, demographic characteristics, etiology and duration of coma, medical complications, and support requirements.
A total of 84% of all health facilities answered, accounting for a total of 2,708 patients. The overall coma prevalence was 2.9%. The median age of the comatose patients was 61 years (interquartile range 50-72) and 66.2% were male. The median coma duration was five days (interquartile range 2-9). Cerebral hemorrhage was the most common etiology, followed by severe hypoxic-ischemic encephalopathy, acute ischemic stroke, and traumatic brain injury. A total of 48.1% of coma patients experienced acute and ongoing treatment complications, with pneumonia being the most common complication, and 97.4% required support during comatose management.
This study provides an overview of the prevalence of coma in Chilean critical and cardiac care units. Coma is a common condition. Comatose patients frequently experience medical complications during their hospitalization.
本研究旨在评估智利重症监护病房患者中昏迷的发生率。我们还旨在深入了解与昏迷相关的人口统计学特征、病因和并发症。
通过对智利公立和私立医院的全国调查，进行了为期一天的横断面研究，这些医院设有重症和心脏重症监护病房。使用在线问卷收集数据，其中包含有关危重症患者信息、人口统计学特征、昏迷的病因和持续时间、医疗并发症和支持需求的问题。
共有 84%的所有医疗机构做出了回应，共涉及 2708 名患者。总体昏迷发生率为 2.9%。昏迷患者的中位年龄为 61 岁（四分位距 50-72），66.2%为男性。昏迷的中位持续时间为五天（四分位距 2-9）。脑出血是最常见的病因，其次是严重缺氧缺血性脑病、急性缺血性中风和创伤性脑损伤。共有 48.1%的昏迷患者发生急性和持续的治疗并发症，最常见的并发症是肺炎，97.4%的患者在昏迷管理期间需要支持。
本研究概述了智利重症和心脏重症监护病房中昏迷的发生率。昏迷是一种常见的病症。昏迷患者在住院期间经常发生医疗并发症。
