Prevalence of Comatose Patients and Disability Status in Relation to the Level of Consciousness in Belgaum City: An Observational Study
*Corresponding Author: Sanjiv Kumar, Department of Neurophysiotherapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India, Email: sanjiv3303@rediffmail.comReceived Date: Apr 17, 2025 / Published Date: Jun 24, 2025
Citation: Kumar S, David JJ (2025) Prevalence of Comatose Patients and Disability Status in Relation to the Level of Consciousness in Belgaum City-An Observational Study. J Nov Physiother 15: 803.
Copyright: © 2025 Kumar S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Coma is characterized as a state of deep unconsciousness resulting from neuronal failure caused by a reduced supply of glucose or oxygen to the brain. Limited data exist on the prevalence of comatose patients in India. Evidence suggests that early rehabilitation significantly improves functional outcomes. This study aims to address the knowledge gap by exploring the prevalence of comatose patients and their disability status concerning levels of consciousness in densely populated regions with developing healthcare systems, such as India.
Objective: To determine the prevalence of comatose patients in Belgaum city and their disability status, highlighting the need for early physiotherapy and Coma Arousal therapy to reduce disability and improve survival.
Method: Data were collected on day 1 using the Glasgow Coma Scale (GCS) and the Full Outline of Unresponsiveness (FOUR) score. Disability status was evaluated on day 7 using the Disability Rating Scale (DRS) at tertiary care setups in Belgaum.
Results: A total of 96 comatose patients were screened according to GCS were included in the study. The most common level of consciousness, graded using the FOUR score, was 1, while the average DRS on day 7 was 24.
Conclusion: A high prevalence of comatose patients in Belgaum city, along with concerning mortality rates and severe disability among survivors, underscores the urgent need for early physical rehabilitation to enhance patient outcomes.

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