We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Predicting the Outcome From Hypoxic-Ischemic Coma: Medical and Ethical Implications

Peter McL. Black, MD, PhD
JAMA. 1985;254(9):1215-1216. doi:10.1001/jama.1985.03360090105030.
Text Size: A A A
Published online


In a recent issue of The Journal, Levy et al1 have presented a summary of their work on the outcome of coma in 210 patients with brain hypoxia or ischemia. This work is an extension of previous publications.2-4 The statistics are somber: 57% of patients died without opening their eyes, 20% attained only the vegetative state, and only 13% recovered independent function. The authors believe that simple clinical data could have predicted the outcome in many of the 87% of patients who did not achieve independent function, data such as fixed pupils on the first day or absent or posturing motor responses after three days. The authors draw several conclusions about the care of comatose patients from these data.

Two features of this article are of particular interest: the general applicability of its prognostic factors for predicting outcome from ischemic/hypoxic coma and the ethical implications of such predictions


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.