Assessing the immediate outcomes and etiology of comatose adult subjects

Introduction: Adult subjects who are a comatose present challenge to the treating healthcare professionals in Indian subjects. Prompt and proper handling of these subjects is vital to attain favorable outcomes. Attaining the diagnosis based on the etiology is vital to handle these subjects properly. Aims: The present study was conducted to assess the immediate outcomes and etiology of comatose adult subjects in Indian settings. Methods: The present prospective and observational clinical study included 150 adult comatose subjects admitted for etiologies other than non-traumatic cases and GCS of less than/equal to 10 in the Indian healthcare center.  In malignancy cases, 1.49% (n=1) subject died, whereas, 3.61% (n=3) subjects survived, in snake bite 5.97% (n=4) subjects died and 4.81% (n=4) subjects survived, in infection, 7.46% (n=5) subjects died and 19.27% (n=16) subjects survived, in metabolic cause, 13.43% (n=9) subjects died and 40.96% (n=34) subjects survived, and in stroke as etiology, 71.64% (n=48) subjects died and 31.32% (n=26) subjects survived. Based on GCS scores, 30% (n=45) subjects had GCS score of 3-6 where 56.71% (n=38) subjects died and 8.43% (n=7) subjects survived, whereas, there were 70% (n=105) subjects with GCS score of 7-10 where 43.28% (n=29) subjects died and 91.56% (n=76) subjects survived