title: Coma in the elderly: Etiological factors, management, and prognosis in the department of anesthesia and intensive care.
abstract: OBJECTIVE
  To study the etiologies, therapeutic and prognosis factors of coma in the elderly in the Department of Anesthesia and Intensive Care of Gabriel TOURE Teaching Hospital, Mali.
  
  
  METHODS
  This was a prospective descriptive study of all cases of coma in the elderly, registered from February 1, 2008 to January 31, 2009 at the Department of Anesthesiology CHU Gabriel Touré, Bamako.
  
  
  RESULTS
  During the study period, 564 patients were admitted to the intensive care unit (ICU) in which 174 (30.85%) were older people. We collected 100 subjects with impaired consciousness, the object of our study, which represented 17.73% of all admissions in the Department of Anesthesiology during the study period and 57.47% of all admissions of older people; 66% of our subjects were male. Hypertensive patients accounted for 60% of cases. In 46% of cases, it was a coma from cardiovascular causes and in 28% of cases; it was a coma of metabolic origin. The diagnoses made in the wake of the care of the elderly in ICU were predominantly stroke (46%) and electrolyte disturbances (13%). The coma was sudden onset in 58% of cases, including 28 cases of stroke whether 48.27%. The prognosis was marked by a fatality with 51% of deaths in our sample.
  
  
  CONCLUSIONS
  The prognosis improvement of the elderly in coma through to the introduction of proxy measures.
authors.affiliation: Department of Anesthesia and Intensive Care of Gabriel, TOURE Teaching Hospital, Bamako, Mali.
authors.forename: D
authors.initials: D
authors.lastname: Diango
authors.affiliation: Department of Anesthesia and Intensive Care of Gabriel, TOURE Teaching Hospital, Bamako, Mali.
authors.forename: M
authors.initials: M
authors.lastname: Moghomaye
authors.affiliation: Department of Neurology of Gabriel, TOURE Teaching Hospital, Bamako, Mali.
authors.forename: Y
authors.initials: Y
authors.lastname: Maiga
authors.affiliation: Department of Anesthesia and Resuscitation in Hospital of Segou, Mali.
authors.forename: S A
authors.initials: SA
authors.lastname: Beye
authors.affiliation: Department of Anesthesia in Ophthalmological Tropical African Institute Teaching Hospital, Bamako, Mali.
authors.forename: A S
authors.initials: AS
authors.lastname: Dembele
authors.affiliation: Department of Anesthesia Resuscitation Emergency of Point G Teaching Hospital, Bamako, Mali.
authors.forename: Y
authors.initials: Y
authors.lastname: Coulibaly
authors.affiliation: Department of Anesthesia Resuscitation Emergency of Point G Teaching Hospital, Bamako, Mali.
authors.forename: A
authors.initials: A
authors.lastname: Diallo
keywords: Comatose; elderly; management; prognosis