@2024 Afarand., IRAN
ISSN: 1027-1457 Scientific Journal of Forensic Medicine 2019;25(4):185-188
ISSN: 1027-1457 Scientific Journal of Forensic Medicine 2019;25(4):185-188
Survival Rate of Patients with Vegetative State Referred to Forensic Medicine Centers in Tehran from the Beginning of 2008 to the End of 2017
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Ghadipasha M. (1)Hedayatshode M.J. (1)
Aram S. (1)
Alimohammadi A.M. (*1)
(1) Legal Medicine Research Center, Iranian Legal Medicine Organization, Tehran, Iran
Correspondence
Address: No. 108, Ayatallah Taleghani-Bahar Cross Road, Tehran, Iran. Postal Code: 1611837681Phone: +98 (21) 77638479
Fax: +98 (21) 77638714
aalimohammadidr@yahoo.com
Article History
Received: June 15, 2019Accepted: November 26, 2019
ePublished: December 21, 2019
ABSTRACT
Aims
The survival rate of patients with vegetative state depends on many factors such as the amount of medical equipment used and how they are cared. By obtaining an average survival rate, one can estimate the average maintenance cost. The purpose of this study was to investigate the survival rate of patients with vegetative state referred to forensic medicine centers in Tehran from the beginning of 2008 to the end of 2017.
Instrument & Methods In this retrospective descriptive cross-sectional study, 58 records of patients with vegetative state referred to forensic medical centers in Tehran during 10 years (beginning of 2008 to the end of 2017) were studied. Data were analyzed by SPSS 23 software using chi-square test.
Findings 31 patients (53.4%) were still alive at the time of study and 27 patients (46.6%) were dead. The mean of survival rate of patients with vegetative state was 6.39±1.50 months ranged from 2 to 192 months. There was no significant relationship between survival rate of patients with vegetative state and sex, age and cause of vegetative state (p>0.05).
Conclusion The mean of survival rate of patients with vegetative state referred to forensic medicine centers in Tehran from the beginning of 2008 to the end of 2017 is 6.39±1.50 months. The minimum survival rate after vegetative state has been 2 months and the maximum has been 192 months (16 years). Therefore, the average cost of maintaining them can be estimated.
Instrument & Methods In this retrospective descriptive cross-sectional study, 58 records of patients with vegetative state referred to forensic medical centers in Tehran during 10 years (beginning of 2008 to the end of 2017) were studied. Data were analyzed by SPSS 23 software using chi-square test.
Findings 31 patients (53.4%) were still alive at the time of study and 27 patients (46.6%) were dead. The mean of survival rate of patients with vegetative state was 6.39±1.50 months ranged from 2 to 192 months. There was no significant relationship between survival rate of patients with vegetative state and sex, age and cause of vegetative state (p>0.05).
Conclusion The mean of survival rate of patients with vegetative state referred to forensic medicine centers in Tehran from the beginning of 2008 to the end of 2017 is 6.39±1.50 months. The minimum survival rate after vegetative state has been 2 months and the maximum has been 192 months (16 years). Therefore, the average cost of maintaining them can be estimated.
CITATION LINKS
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[5]Owen AM, Coleman MR, Boly M, Davis MH, Laureys S, Pickard JD. Detecting awareness in the vegetative state. Science. 2006;313(5792):1402.
[6]Monti MM, Vanhaudenhuyse A, Coleman MR, Boly M, Pickard JD, Tshibanda L, et al. Willful modulation of brain activity in disorders of consciousness. N Engl J Med. 2010;362(7):579-89.
[7]Ragazzoni A, Pirulli C, Veniero D, Feurra M, Cincotta M, Giovannelli F, et al. Vegetative versus minimally conscious states: a study using TMS-EEG, sensory and event-related potentials. PLoS One. 2013;8(2):e57069.
[8]Ghorbani M, Shadmanfar MR, Ghodoosi A. The survey of manner of determining amounts of blood money in brain death injuries from the judges and coroner physicians Viewpoint. Iran J Forensic Med. 2012;18(2 and 3):107-12. [Persian]
[9]Doherty DL. Predicting life expectancy in persistent vegetative state. Arch Phys Med Rehabil. 1992;73(10):974.
[10]Strauss DJ, Shavelle RM, Ashwal S. Life expectancy and median survival time in the permanent vegetative state. Pediatr Neurol. 1999;21(3):626-31.
[11]Strauss DJ, Ashwal S, Day SM, Shavelle RM. Life expectancy of children in vegetative and minimally conscious states. Pediatr Neurol. 2000;23(4):312-9.
[12]Ashwal S, Eyman RK, Call TL. Life expectancy of children in a persistent vegetative state. Pediatr Neurol. 1994;10(1):27-33.
[2]Bender A, Jox RJ, Grill E, Straube A, Lulé D. Persistent vegetative state and minimally conscious state: a systematic review and meta-analysis of diagnostic procedures. Dtsch Arztebl Int. 2015;112(14):235-42.
[3]Cruse D, Chennu S, Fernández-Espejo D, Payne WL, Young GB, Owen AM. Detecting awareness in the vegetative state: electroencephalographic evidence for attempted movements to command. PLoS One. 2012;7(11):e49933.
[4]Cruse D, Chennu S, Chatelle C, Bekinschtein TA, Fernández-Espejo D, Pickard JD, et al. Bedside detection of awareness in the vegetative state: a cohort study. Lancet. 2011;378(9809):2088-94.
[5]Owen AM, Coleman MR, Boly M, Davis MH, Laureys S, Pickard JD. Detecting awareness in the vegetative state. Science. 2006;313(5792):1402.
[6]Monti MM, Vanhaudenhuyse A, Coleman MR, Boly M, Pickard JD, Tshibanda L, et al. Willful modulation of brain activity in disorders of consciousness. N Engl J Med. 2010;362(7):579-89.
[7]Ragazzoni A, Pirulli C, Veniero D, Feurra M, Cincotta M, Giovannelli F, et al. Vegetative versus minimally conscious states: a study using TMS-EEG, sensory and event-related potentials. PLoS One. 2013;8(2):e57069.
[8]Ghorbani M, Shadmanfar MR, Ghodoosi A. The survey of manner of determining amounts of blood money in brain death injuries from the judges and coroner physicians Viewpoint. Iran J Forensic Med. 2012;18(2 and 3):107-12. [Persian]
[9]Doherty DL. Predicting life expectancy in persistent vegetative state. Arch Phys Med Rehabil. 1992;73(10):974.
[10]Strauss DJ, Shavelle RM, Ashwal S. Life expectancy and median survival time in the permanent vegetative state. Pediatr Neurol. 1999;21(3):626-31.
[11]Strauss DJ, Ashwal S, Day SM, Shavelle RM. Life expectancy of children in vegetative and minimally conscious states. Pediatr Neurol. 2000;23(4):312-9.
[12]Ashwal S, Eyman RK, Call TL. Life expectancy of children in a persistent vegetative state. Pediatr Neurol. 1994;10(1):27-33.