Auditory brainstem response: prognostic value in patients with a score of 3 on the Glasgow Coma Scale

Otol Neurotol. 2007 Apr;28(3):426-8. doi: 10.1097/MAO.0b013e3180326170.

Abstract

Objective: To evaluate the prognostic value of auditory brainstem response (ABR) recorded in comatose patients presenting a score of 3 on the Glasgow Coma Scale (GCS = 3).

Patients: One hundred thirty-eight patients in coma at GCS = 3 due to various etiologic agents.

Intervention: To record and analyze tracings of ABR.

Main outcome measure: Tracings from ABR were classified into four types (B1, B2, B3, and B4) on the basis of synchrony of waves.

Results: The Fischer's exact test used for comparison between death proportions revealed that B1 is different from B2, B3, or B4 and the association B2 + B3 + B4.

Conclusion: Auditory brainstem response is a useful tool with prognostic value for patients in coma with GCS = 3. It was demonstrated in our series that once the patient presented an abnormal ABR (B2, B3, or B4), he had a greater probability of dying than a patient with a normal ABR (B1).

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Coma / diagnosis*
  • Coma / physiopathology*
  • Evoked Potentials, Auditory, Brain Stem / physiology*
  • Female
  • Glasgow Coma Scale
  • Humans
  • Male
  • Middle Aged
  • Prognosis