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Comatose patients are challenging to a doctor. About 5 to 9 % of all patients attending emergency are with disorders of consciousness of non-traumatic origin and are associated with high (25-48%) mortality.1,2 Etiology and clinical presentations are important to predict the outcome. Most of the studies with non-traumatic coma patients used GCS ≤10 as a cut-off score.3,4 Coma may be without focal neurological signs (metabolic and toxic encephalopathies), with prominent focal signs (stroke) and meningitis syndromes, acute encephalitic syndromes. Drug ingestion, cerebral haemorrhage, cardiac arrest, epilepsy, basilar artery occlusion are common causes of sudden coma. Secondary to pre-existing medical or neurological illness, coma can appear sub-acutely due to brain oedema or infarction.5 GCS score provide the best indication to predict mortality in non-traumatic coma cases.6 Metabolic causes of the coma have better outcome.7 GCS score, onset, cause, pre-existing comorbidities are an important factor for outcome in nontraumatic coma cases. MATERIALS AND METHODS

Study on Etiology and Immediate Outcome of Adult Comatose Patients in Medical Ward