Epidemiology and prognosis of coma in daytime television dramas
Identifieur interne : 000D82 ( Istex/Corpus ); précédent : 000D81; suivant : 000D83Epidemiology and prognosis of coma in daytime television dramas
Auteurs : David Casarett ; Jessica M. Fishman ; Holly Jo Macmoran ; Amy Pickard ; David A. AschSource :
- BMJ [ 0959-8138 ] ; 2005-12-24.
Abstract
Objective To determine how soap operas portray, and possibly misrepresent, the likelihood of recovery for patients in coma. Design Retrospective cohort study. Setting Nine soap operas in the United States reviewed between 1 January 1995 and 15 May 2005. Subjects 64 characters who experienced a period of unconsciousness lasting at least 24 hours. Their final status at the end of the follow-up period was compared with pooled data from a meta-analysis. Results Comas lasted a median of 13 days (interquartile range 7-25 days). Fifty seven (89%) patients recovered fully, five (8%) died, and two (3%) remained in a vegetative state. Mortality for non-traumatic and traumatic coma was significantly lower than would be predicted from the meta-analysis data (non-traumatic 4% v 53%; traumatic 6% v 67%; Fisher's exact test both P < 0.001). On the day that patients regained consciousness, most (49/57; 86%) had no evidence of limited function, cognitive deficit, or residual disability needing rehabilitation. Compared with meta-analysis data, patients in this sample had a much better than expected chance of returning to normal function (non-traumatic 91% v 1%; traumatic 89% v 7%; both P < 0.001). Conclusions The portrayal of coma in soap operas is overly optimistic. Although these programmes are presented as fiction, they may contribute to unrealistic expectations of recovery.
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DOI: 10.1136/bmj.331.7531.1537
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Epidemiology and prognosis of coma in daytime television dramas</title><author><name sortKey="Casarett, David" sort="Casarett, David" uniqKey="Casarett D" first="David" last="Casarett">David Casarett</name><affiliation><mods:affiliation>Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104-4155, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence to: D Casarett</mods:affiliation></affiliation></author><author><name sortKey="Fishman, Jessica M" sort="Fishman, Jessica M" uniqKey="Fishman J" first="Jessica M" last="Fishman">Jessica M. Fishman</name><affiliation><mods:affiliation>Center for Clinical Epidemiology and Biostatistics, 113 Blockley Hall, 423 Guardian Drive, University of Pennsylvania, Philadelphia, PA 19104-6021</mods:affiliation></affiliation></author><author><name sortKey="Macmoran, Holly Jo" sort="Macmoran, Holly Jo" uniqKey="Macmoran H" first="Holly Jo" last="Macmoran">Holly Jo Macmoran</name><affiliation><mods:affiliation>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</mods:affiliation></affiliation></author><author><name sortKey="Pickard, Amy" sort="Pickard, Amy" uniqKey="Pickard A" first="Amy" last="Pickard">Amy Pickard</name><affiliation><mods:affiliation>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</mods:affiliation></affiliation></author><author><name sortKey="Asch, David A" sort="Asch, David A" uniqKey="Asch D" first="David A" last="Asch">David A. Asch</name><affiliation><mods:affiliation>Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104-4155, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:2C3F77E3668A205972E5D9DA81E6E80601CF5037</idno><date when="2005" year="2005">2005</date><idno type="doi">10.1136/bmj.331.7531.1537</idno><idno type="url">https://api.istex.fr/document/2C3F77E3668A205972E5D9DA81E6E80601CF5037/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000D82</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Epidemiology and prognosis of coma in daytime television dramas</title><author><name sortKey="Casarett, David" sort="Casarett, David" uniqKey="Casarett D" first="David" last="Casarett">David Casarett</name><affiliation><mods:affiliation>Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104-4155, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence to: D Casarett</mods:affiliation></affiliation></author><author><name sortKey="Fishman, Jessica M" sort="Fishman, Jessica M" uniqKey="Fishman J" first="Jessica M" last="Fishman">Jessica M. Fishman</name><affiliation><mods:affiliation>Center for Clinical Epidemiology and Biostatistics, 113 Blockley Hall, 423 Guardian Drive, University of Pennsylvania, Philadelphia, PA 19104-6021</mods:affiliation></affiliation></author><author><name sortKey="Macmoran, Holly Jo" sort="Macmoran, Holly Jo" uniqKey="Macmoran H" first="Holly Jo" last="Macmoran">Holly Jo Macmoran</name><affiliation><mods:affiliation>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</mods:affiliation></affiliation></author><author><name sortKey="Pickard, Amy" sort="Pickard, Amy" uniqKey="Pickard A" first="Amy" last="Pickard">Amy Pickard</name><affiliation><mods:affiliation>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</mods:affiliation></affiliation></author><author><name sortKey="Asch, David A" sort="Asch, David A" uniqKey="Asch D" first="David A" last="Asch">David A. Asch</name><affiliation><mods:affiliation>Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104-4155, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">BMJ</title><title level="j" type="abbrev">BMJ</title><idno type="ISSN">0959-8138</idno><idno type="eISSN">1468-5833</idno><imprint><publisher>British Medical Journal Publishing Group</publisher><date type="published" when="2005-12-24">2005-12-24</date><biblScope unit="volume">331</biblScope><biblScope unit="issue">7531</biblScope><biblScope unit="page" from="1537">1537</biblScope></imprint><idno type="ISSN">0959-8138</idno></series><idno type="istex">2C3F77E3668A205972E5D9DA81E6E80601CF5037</idno><idno type="DOI">10.1136/bmj.331.7531.1537</idno><idno type="href">bmj-331-1537.pdf</idno><idno type="ArticleID">bmj.331.7531.1537</idno><idno type="PMID">16373744</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0959-8138</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective To determine how soap operas portray, and possibly misrepresent, the likelihood of recovery for patients in coma. Design Retrospective cohort study. Setting Nine soap operas in the United States reviewed between 1 January 1995 and 15 May 2005. Subjects 64 characters who experienced a period of unconsciousness lasting at least 24 hours. Their final status at the end of the follow-up period was compared with pooled data from a meta-analysis. Results Comas lasted a median of 13 days (interquartile range 7-25 days). Fifty seven (89%) patients recovered fully, five (8%) died, and two (3%) remained in a vegetative state. Mortality for non-traumatic and traumatic coma was significantly lower than would be predicted from the meta-analysis data (non-traumatic 4% v 53%; traumatic 6% v 67%; Fisher's exact test both P < 0.001). On the day that patients regained consciousness, most (49/57; 86%) had no evidence of limited function, cognitive deficit, or residual disability needing rehabilitation. Compared with meta-analysis data, patients in this sample had a much better than expected chance of returning to normal function (non-traumatic 91% v 1%; traumatic 89% v 7%; both P < 0.001). Conclusions The portrayal of coma in soap operas is overly optimistic. Although these programmes are presented as fiction, they may contribute to unrealistic expectations of recovery.</div></front></TEI><istex><corpusName>bmj</corpusName><author><json:item><name>David Casarett</name><affiliations><json:string>Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104-4155, USA</json:string><json:string>Correspondence to: D Casarett</json:string></affiliations></json:item><json:item><name>Jessica M Fishman</name><affiliations><json:string>Center for Clinical Epidemiology and Biostatistics, 113 Blockley Hall, 423 Guardian Drive, University of Pennsylvania, Philadelphia, PA 19104-6021</json:string></affiliations></json:item><json:item><name>Holly Jo MacMoran</name><affiliations><json:string>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</json:string></affiliations></json:item><json:item><name>Amy Pickard</name><affiliations><json:string>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</json:string></affiliations></json:item><json:item><name>David A Asch</name><affiliations><json:string>Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104-4155, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>What's in a name?</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Objective To determine how soap operas portray, and possibly misrepresent, the likelihood of recovery for patients in coma. Design Retrospective cohort study. Setting Nine soap operas in the United States reviewed between 1 January 1995 and 15 May 2005. Subjects 64 characters who experienced a period of unconsciousness lasting at least 24 hours. Their final status at the end of the follow-up period was compared with pooled data from a meta-analysis. Results Comas lasted a median of 13 days (interquartile range 7-25 days). Fifty seven (89%) patients recovered fully, five (8%) died, and two (3%) remained in a vegetative state. Mortality for non-traumatic and traumatic coma was significantly lower than would be predicted from the meta-analysis data (non-traumatic 4% v 53%; traumatic 6% v 67%; Fisher's exact test both P > 0.001). On the day that patients regained consciousness, most (49/57; 86%) had no evidence of limited function, cognitive deficit, or residual disability needing rehabilitation. Compared with meta-analysis data, patients in this sample had a much better than expected chance of returning to normal function (non-traumatic 91% v 1%; traumatic 89% v 7%; both P > 0.001). Conclusions The portrayal of coma in soap operas is overly optimistic. 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19104-4155, USA</affiliation><affiliation>Correspondence to: D Casarett</affiliation></author><author><persName><forename type="first">Jessica M</forename><surname>Fishman</surname></persName><note type="biography">faculty fellow</note><affiliation>faculty fellow</affiliation><affiliation>Center for Clinical Epidemiology and Biostatistics, 113 Blockley Hall, 423 Guardian Drive, University of Pennsylvania, Philadelphia, PA 19104-6021</affiliation></author><author><persName><forename type="first">Holly Jo</forename><surname>MacMoran</surname></persName><note type="biography">research coordinator</note><affiliation>research coordinator</affiliation><affiliation>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</affiliation></author><author><persName><forename type="first">Amy</forename><surname>Pickard</surname></persName><note type="biography">research coordinator</note><affiliation>research coordinator</affiliation><affiliation>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</affiliation></author><author><persName><forename type="first">David A</forename><surname>Asch</surname></persName><note type="biography">professor</note><affiliation>professor</affiliation><affiliation>Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104-4155, USA</affiliation></author></analytic><monogr><title level="j">BMJ</title><title level="j" type="abbrev">BMJ</title><idno type="JournalID">BMJ</idno><idno type="pISSN">0959-8138</idno><idno type="eISSN">1468-5833</idno><imprint><publisher>British Medical Journal Publishing Group</publisher><date type="published" when="2005-12-24"></date><biblScope unit="volume">331</biblScope><biblScope unit="issue">7531</biblScope><biblScope unit="page" from="1537">1537</biblScope></imprint></monogr><idno type="istex">2C3F77E3668A205972E5D9DA81E6E80601CF5037</idno><idno type="DOI">10.1136/bmj.331.7531.1537</idno><idno type="href">bmj-331-1537.pdf</idno><idno type="ArticleID">bmj.331.7531.1537</idno><idno type="PMID">16373744</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2005-12-22</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Objective To determine how soap operas portray, and possibly misrepresent, the likelihood of recovery for patients in coma. Design Retrospective cohort study. Setting Nine soap operas in the United States reviewed between 1 January 1995 and 15 May 2005. Subjects 64 characters who experienced a period of unconsciousness lasting at least 24 hours. Their final status at the end of the follow-up period was compared with pooled data from a meta-analysis. Results Comas lasted a median of 13 days (interquartile range 7-25 days). Fifty seven (89%) patients recovered fully, five (8%) died, and two (3%) remained in a vegetative state. Mortality for non-traumatic and traumatic coma was significantly lower than would be predicted from the meta-analysis data (non-traumatic 4% v 53%; traumatic 6% v 67%; Fisher's exact test both P < 0.001). On the day that patients regained consciousness, most (49/57; 86%) had no evidence of limited function, cognitive deficit, or residual disability needing rehabilitation. Compared with meta-analysis data, patients in this sample had a much better than expected chance of returning to normal function (non-traumatic 91% v 1%; traumatic 89% v 7%; both P < 0.001). Conclusions The portrayal of coma in soap operas is overly optimistic. Although these programmes are presented as fiction, they may contribute to unrealistic expectations of recovery.</p></abstract><textClass><keywords scheme="keyword"><list><head>heading</head><item><term>What's in a name?</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2005-12-22">Created</change><change when="2005-12-24">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/2C3F77E3668A205972E5D9DA81E6E80601CF5037/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="other" xml:lang="en"><front><journal-meta><journal-id journal-id-type="hwp">bmj</journal-id><journal-id journal-id-type="nlm-ta">BMJ</journal-id><journal-id journal-id-type="publisher-id">BMJ</journal-id><journal-title>BMJ</journal-title><abbrev-journal-title abbrev-type="publisher">BMJ</abbrev-journal-title><abbrev-journal-title abbrev-type="pubmed">BMJ</abbrev-journal-title><issn pub-type="ppub">0959-8138</issn><issn pub-type="epub">1468-5833</issn><publisher><publisher-name>British Medical Journal Publishing Group</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">bmj.331.7531.1537</article-id><article-id pub-id-type="doi">10.1136/bmj.331.7531.1537</article-id><article-id pub-id-type="other">bmj;331/7531/1537</article-id><article-id pub-id-type="pmid">16373744</article-id><article-id pub-id-type="other">1537</article-id><article-id pub-id-type="other">bmj.331.7531.1537</article-id><article-categories><subj-group subj-group-type="heading"><subject>What's in a name?</subject></subj-group></article-categories><title-group><article-title>Epidemiology and prognosis of coma in daytime television dramas</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Casarett</surname><given-names>David</given-names></name><role>assistant professor</role><email xlink:type="simple">casarett@mail.med.upenn.edu</email><xref ref-type="corresp" rid="COR1"></xref><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Fishman</surname><given-names>Jessica M</given-names></name><role>faculty fellow</role><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>MacMoran</surname><given-names>Holly Jo</given-names></name><role>research coordinator</role><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Pickard</surname><given-names>Amy</given-names></name><role>research coordinator</role><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Asch</surname><given-names>David A</given-names></name><role>professor</role><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104-4155, USA</aff><aff id="A2"><label>2</label>Center for Clinical Epidemiology and Biostatistics, 113 Blockley Hall, 423 Guardian Drive, University of Pennsylvania, Philadelphia, PA 19104-6021</aff><aff id="A3"><label>3</label>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</aff><author-notes><corresp id="COR1">Correspondence to: D Casarett</corresp></author-notes><pub-date pub-type="ppub"><day>24</day><month>12</month><year>2005</year></pub-date><pub-date pub-type="epub"><day>22</day><month>12</month><year>2005</year></pub-date><volume>331</volume><volume-id pub-id-type="other">331</volume-id><volume-id pub-id-type="other">331</volume-id><issue>7531</issue><issue-id pub-id-type="other">bmj;331/7531</issue-id><issue-id pub-id-type="other">7531</issue-id><issue-id pub-id-type="other">331/7531</issue-id><fpage>1537</fpage><history><date date-type="accepted"><day>8</day><month>11</month><year>2005</year></date></history><permissions><copyright-statement>© 2005 BMJ Publishing Group Ltd.</copyright-statement><copyright-year>2005</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="bmj-331-1537.pdf"></self-uri><abstract><title>Abstract</title><p><bold>Objective</bold> To determine how soap operas portray, and possibly misrepresent, the likelihood of recovery for patients in coma.</p><p><bold>Design</bold> Retrospective cohort study.</p><p><bold>Setting</bold> Nine soap operas in the United States reviewed between 1 January 1995 and 15 May 2005.</p><p><bold>Subjects</bold> 64 characters who experienced a period of unconsciousness lasting at least 24 hours. Their final status at the end of the follow-up period was compared with pooled data from a meta-analysis.</p><p><bold>Results</bold> Comas lasted a median of 13 days (interquartile range 7-25 days). Fifty seven (89%) patients recovered fully, five (8%) died, and two (3%) remained in a vegetative state. Mortality for non-traumatic and traumatic coma was significantly lower than would be predicted from the meta-analysis data (non-traumatic 4% <italic>v</italic> 53%; traumatic 6% <italic>v</italic> 67%; Fisher's exact test both P < 0.001). On the day that patients regained consciousness, most (49/57; 86%) had no evidence of limited function, cognitive deficit, or residual disability needing rehabilitation. Compared with meta-analysis data, patients in this sample had a much better than expected chance of returning to normal function (non-traumatic 91% <italic>v</italic> 1%; traumatic 89% <italic>v</italic> 7%; both P < 0.001).</p><p><bold>Conclusions</bold> The portrayal of coma in soap operas is overly optimistic. Although these programmes are presented as fiction, they may contribute to unrealistic expectations of recovery.</p></abstract><counts><page-count count="3"></page-count></counts></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Epidemiology and prognosis of coma in daytime television dramas</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Epidemiology and prognosis of coma in daytime television dramas</title></titleInfo><name type="personal"><namePart type="given">David</namePart><namePart type="family">Casarett</namePart><affiliation>Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104-4155, USA</affiliation><affiliation>Correspondence to: D Casarett</affiliation><description>assistant professor</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jessica M</namePart><namePart type="family">Fishman</namePart><affiliation>Center for Clinical Epidemiology and Biostatistics, 113 Blockley Hall, 423 Guardian Drive, University of Pennsylvania, Philadelphia, PA 19104-6021</affiliation><description>faculty fellow</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Holly Jo</namePart><namePart type="family">MacMoran</namePart><affiliation>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</affiliation><description>research coordinator</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Amy</namePart><namePart type="family">Pickard</namePart><affiliation>Division of Geriatric Medicine, University of Pennsylvania, 3615 Chestnut Street, Suite 312, Philadelphia, PA 19104</affiliation><description>research coordinator</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">David A</namePart><namePart type="family">Asch</namePart><affiliation>Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104-4155, USA</affiliation><description>professor</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="other">other</genre><subject><genre>heading</genre><topic>What's in a name?</topic></subject><originInfo><publisher>British Medical Journal Publishing Group</publisher><dateIssued encoding="w3cdtf">2005-12-24</dateIssued><dateCreated encoding="w3cdtf">2005-12-22</dateCreated><copyrightDate encoding="w3cdtf">2005</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Objective To determine how soap operas portray, and possibly misrepresent, the likelihood of recovery for patients in coma. Design Retrospective cohort study. Setting Nine soap operas in the United States reviewed between 1 January 1995 and 15 May 2005. Subjects 64 characters who experienced a period of unconsciousness lasting at least 24 hours. Their final status at the end of the follow-up period was compared with pooled data from a meta-analysis. Results Comas lasted a median of 13 days (interquartile range 7-25 days). Fifty seven (89%) patients recovered fully, five (8%) died, and two (3%) remained in a vegetative state. Mortality for non-traumatic and traumatic coma was significantly lower than would be predicted from the meta-analysis data (non-traumatic 4% v 53%; traumatic 6% v 67%; Fisher's exact test both P < 0.001). On the day that patients regained consciousness, most (49/57; 86%) had no evidence of limited function, cognitive deficit, or residual disability needing rehabilitation. Compared with meta-analysis data, patients in this sample had a much better than expected chance of returning to normal function (non-traumatic 91% v 1%; traumatic 89% v 7%; both P < 0.001). Conclusions The portrayal of coma in soap operas is overly optimistic. Although these programmes are presented as fiction, they may contribute to unrealistic expectations of recovery.</abstract><note type="author-notes">Correspondence to: D Casarett</note><relatedItem type="host"><titleInfo><title>BMJ</title></titleInfo><titleInfo type="abbreviated"><title>BMJ</title></titleInfo><identifier type="ISSN">0959-8138</identifier><identifier type="eISSN">1468-5833</identifier><identifier type="JournalID">BMJ</identifier><identifier type="JournalID-hwp">bmj</identifier><identifier type="JournalID-nlm-ta">BMJ</identifier><part><date>2005</date><detail type="volume"><caption>vol.</caption><number>331</number></detail><detail type="issue"><caption>no.</caption><number>7531</number></detail><extent unit="pages"><start>1537</start><total>3</total></extent></part></relatedItem><identifier type="istex">2C3F77E3668A205972E5D9DA81E6E80601CF5037</identifier><identifier type="DOI">10.1136/bmj.331.7531.1537</identifier><identifier type="href">bmj-331-1537.pdf</identifier><identifier type="ArticleID">bmj.331.7531.1537</identifier><identifier type="PMID">16373744</identifier><accessCondition type="use and reproduction" contentType="Copyright">© 2005 BMJ Publishing Group Ltd.</accessCondition><recordInfo><recordContentSource>BMJ</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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