Article
Cognitive and adaptive outcomes and age at insult effects after
non-traumatic coma
R J Forsyth, C P Wong, T P Kelly, H Borrill, D Stilgoe, S Kendall, J A Eyre
Paediatric
Neuroscience Group, Department of Child Health, University of
Newcastle-upon-Tyne, Newcastle-upon-Tyne NE1 4LP, UK
Correspondence to: Dr Forsyth r.j.forsyth{at}newcastle.ac.uk
Accepted 21 September
2000
Cognitive and adaptive behavioural outcome were studied in the
identified survivors of a population based study of non-traumatic coma
(NTC) in childhood. Children were assessed early (six weeks) and late
(12 months) after NTC. At least 7% of those children in whom no
suspicions of prior neurodevelopmental morbidity existed showed
moderate or severe disability following NTC. Children over 2 years of
age at insult showed some improvement between early and late
assessments; however, children below 2 years showed no improvement.
Differing age at insult effects were observed between aetiological
groups. A relation between early age at first insult and poor outcome
was particularly evident among children experiencing NTC caused by epilepsy.
Keywords: coma; non-traumatic coma; prognosis; age related effects
© 2001 by Archives of Disease in Childhood
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