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Text
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<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11068163" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11068163</a>
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Title
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Life expectancy of children in vegetative and minimally conscious states
Publisher
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Pediatric Neurology
Date
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2000
Subject
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Child; Female; Male; Logistic Models; Survival Analysis; Risk Factors; Multivariate Analysis; Odds Ratio; adolescent; Preschool; Non-U.S. Gov't; Human; Support; Gastrostomy/mortality; Life Expectancy; Brain Injuries/mortality; Enteral Nutrition/mortality; Persistent Vegetative State/mortality
Creator
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Strauss DJ; Ashwal S; Day SM; Shavelle RM
Description
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We determined estimates of survival in children, 3-15 years of age, in the vegetative state (VS) (n = 564), immobile minimally conscious state (MCS) (n = 705), and mobile MCS (n = 3,806). Data were extracted from the annual Client Development Evaluation Reports of the California Department of Developmental Services between 1988 and 1997 using the operational definitions for these three states on the basis of 15 descriptive behavioral categories. Patients were also categorized according to the following four etiologies: acquired (traumatic and nontraumatic) brain injury; perinatal/genetic; degenerative; and unknown/undetermined. The percentage of patients surviving 8 years was 63%, 65%, and 81%, for the VS, immobile MCS, and mobile MCS, respectively. Children in the VS and MCSs with acquired brain injury had lower mortality rates and those with degenerative diseases the highest mortality rates. We observed little difference in survival between patients in the VS and immobile MCS, suggesting that the presence of consciousness is not a critical variable in determining life expectancy. Furthermore, survival was much greater for patients in the mobile MCS than for those in the immobile MCS, suggesting that mobility is more important in predicting survival than the level of consciousness.
2000
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2000
Adolescent
Ashwal S
Backlog
Brain Injuries/mortality
Child
Day SM
Enteral Nutrition/mortality
Female
Gastrostomy/mortality
Human
Journal Article
Life Expectancy
Logistic Models
Male
Multivariate Analysis
Non-U.S. Gov't
Odds Ratio
Pediatric Neurology
Persistent Vegetative State/mortality
Preschool
Risk Factors
Shavelle RM
Strauss DJ
Support
Survival Analysis