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Objective: To determine frequency of various etiologic factors among
non-traumatic comatose children presenting in medical emergency in
Children Hospital, Lahore
Study Design: Descriptive cross-sectional study.
Site and Duration of Study: Department of Pediatrics Emergency, The
Children’s Hospital and Institute of Child Health, Lahore, from May 2013
to November 2013.
Methodology: This study included 270 children with coma. Certain
laboratory investigations including complete blood count, electrolytes,
blood sugar, urine and stool complete analysis, chest X-rays and
bacterial blood culture, cerebral-spinal fluid (CSF) microscopy and
bacterial culture, microscopy test for malaria, Monteux test, tuberculosis
culture, brain imaging studies and Electro encephalogram (EEG) were
used to determine cause of coma (including infection, epilepsy,
metabolic, intoxication, tumor and congenital malformation).
Results: Infection was present in 133 (49.3%) patients, epilepsy in 65
(24.1%) patients, metabolic disorders in 42 (15.5%) patients, intoxication in
22 (8.1%), tumor in 3 (1.1%) patients and congenital disorder in 5 (1.9%)
patients.
Conclusion: Infection was the most common cause of coma followed
by epilepsy and metabolic. Intoxication, tumor and congenital disorder
were also other causes need to be ruled out.
Haji Gul, Muhammad Rafiq Khan, Muhammad Nasir Rana, Haseen Dil Wazir. (2016) The Frequency of Various Etiological Factors among NonTraumatic Comatose Children Presenting in Medical Emergency in Children Hospital, Lahore , Pakistan Pediatric Journal, Volume 40, Issue 4.
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