Visual impairment in children with acute nontraumatic coma
| Autor: | Janet Eyre, N.G. Ziakas, Rob Forsyth, Chee Piau Wong, Michael P. Clarke, Mahfouth A Bamashmus, Andrew S. Ramsay |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics genetic structures Adolescent Eye disease Visual impairment Vision Disorders Neurological disorder Level of consciousness Medicine Humans Glasgow Coma Scale Prospective Studies Coma Child Visual Cortex business.industry Incidence (epidemiology) Incidence Infant General Medicine medicine.disease United Kingdom Surgery Ophthalmology El Niño Child Preschool Pediatrics Perinatology and Child Health Acute Disease Female medicine.symptom business Complication |
| Zdroj: | Europe PubMed Central |
| ISSN: | 0191-3913 |
| Popis: | Purpose: To determine the incidence and severity of visual impairment in children following acute nontraumatic coma. Methods: An 18-month prospective epidemiologic study of acute nontraumatic coma was undertaken in the former Northern NHS Region of England. Children aged >1 month and 6 hours or if they died within 6 hours of the onset of decreased levels of consciousness. For survivors, ophthalmologic assessments were performed 6 weeks and 12 months after presentation. Results: Two hundred eighty-seven children were included in the study, of whom 127 died. Of the 1 37 examined survivors, 35 had visual abnormalities suspected by the examining neurologist during the ophthalmic assessment. Of these, visual impairment was confirmed in 10 children at the 6-week assessment by the pediatric ophthalmologist. At the 12-month assessment, visual impairment remained stable in 9 children and improved in 1. Conclusion: In this study, 6.6% of children surviving acute nontraumatic coma had visual impairment that persisted at the 12-month follow-up examination. Incidence of visual impairment in acute nontraumatic coma is 0.97 per 100,000 children per year. Journal of Pediatric Ophthalmology and Strabismus 2001;38:6-10. |
| Databáze: | OpenAIRE |
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