ASSESSING THE IMMEDIATE OUTCOMES AND ETIOLOGY OF COMATOSE ADULT SUBJECTS ADMITTED FOR NON-TRAUMATIC CAUSES

Abstract

Background: In Indian subjects, adult comatose subjects provide a difficulty to the attending medical experts. It is 
essential to handle these topics appropriately and promptly in order to achieve positive results. To treat these 
patients appropriately, determining the diagnosis based on the etiology is essential.  
Aim: The purpose of this study was to evaluate the etiology and immediate results of adult comatose individuals 
in Indian settings. 
Methods: In the Indian healthcare centre, 150 adult comatose patients with GCS values of less than or equal to 10 
who were hospitalized for etiologies other than non-traumatic cases were included in this prospective and 
observational clinical study. Following inclusion, each person had a thorough examination, investigation, and 
history. For every subject, the etiologies and immediate results were evaluated.  
Results: Of the individuals, 2.66% (n=4) were unconscious due to cancer, 5.33% (n=8) were bitten by a snake, 
14% (n=21) had an infection, 28.66% (n=43) had a metabolic reason, and 49.33% (n=74) had a stroke. 3.49% 
(n=1) of the subjects died in cases of malignancy, while 3.61% (n=3) of the subjects survived; 5.97% (n=4) of the 
subjects died and 4.81% (n=4) of the subjects survived; 7.46% (n=5) of the subjects died and 19.27% (n=16) of 
the subjects survived; 13.43% (n=9) of the subjects died and 40.96% (n=34) of the subjects survived; and 71.64% 
(n=48) of the subjects died and 31.32% (n=26) of the subjects survived in the case of the stroke.  
GCS scores showed that 30% (n=45) of the subjects had a score of 3-6, meaning that 56.71% (n=38) of the 
subjects died and 8.43% (n=7) of the subjects survived; on the other hand, 70% (n=105) of the subjects had a 
score of 7–10, meaning that 43.28% (n=29) of the subjects died and 91.56% (n=76) of the subjects survived.  
Conclusion: The current study comes to the conclusion that stroke is the most frequent cause of non-traumatic 
coma. On the other hand, it was also shown that infectious and metabolic factors were equally significant.