These children were followed up till the death in the hospital or discharged from the hospital. Aetiology of coma is determined on the basis of clinical history, examination and relevant laboratory investigations by the treating physician. Clinical signs and findings were recorded at admission (‘0’ Hr and after ‘48’ Hrs. MATERIALS AND METHODS 100 consecutive cases of non-traumatic coma between 5months and 15 years of age were selected for the study. The aim of this study is to study the incidence, aetiology and outcome of non-traumatic coma in children. We have attempted to find the incidence, aetiology and outcome and delineate neurological signs to predict the prognosis in this study. Aetiology of nontraumatic coma varies depending on different geographical area. Due to heterogeneity of causes in these patients, prediction of outcome is difficult and unfortunately no single clinical, laboratory or electrophysiological parameters singly predict their outcome. NON-TRAUMATIC COMA- INCIDENCE, AETIOLOGY AND OUTCOMEĭirectory of Open Access Journals (Sweden)įull Text Available BACKGROUND Acute non-traumatic coma is one of the most common paediatric emergencies, which arouses much anxiety and apprehension in both parents and physicians. Acute pancreatitis continues to increase throughout most of Europe. Gallstone is the dominant aetiology in southern Europe and alcohol in eastern Europe with intermediate ratios in northern and western Europe. The incidence of acute pancreatitis varies across Europe. The highest ratios of gallstone to alcohol aetiologies were identified in southern Europe (Greece, Turkey, Italy and Croatia) with lowest ratios mainly in eastern Europe (Latvia, Finland, Romania, Hungary, Russia and Lithuania). Of 20 studies that reported on trends in incidence, all but three show percentage increases over time (overall median increase = 3.4% per annum range = -0.4%-73%). Incidence was usually highest in eastern or northern Europe, although reported rates often varied according to case ascertainment criteria. The incidence of acute pancreatitis was reported from 17 countries across Europe and ranged from 4.6 to 100 per 100 000 population. A structured review of acute pancreatitis incidence and aetiology from studies of hospitalised patient case series, cohort studies or other population based studies from 1989 to 2015 and a review of trends in incidence from 1970 to 2015 across all 51 European states. This study investigated regional and national patterns in the incidence and aetiology of acute pancreatitis, demographic patterns in incidence and trends over time in incidence across Europe. Roberts, Stephen E Morrison-Rees, Sian John, Ann Williams, John G Brown, Tim H Samuel, David GĪcute pancreatitis is increasingly one of the most important acute gastrointestinal conditions throughout much of the world, although incidence and aetiology varies across countries and regions. The incidence and aetiology of acute pancreatitis across Europe.
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