Journal of the American Medical Association (06/14/95) Vol.
In response to a letter to the editor of the Journal of the
American Medical Association, Jean-Pierre Bedos asserts that
"neurological failure" is the correct term for his study,
which involved HIV-infected patients treated in an intensive
care unit (ICU). Although the phrase is imprecise and
simplistic in a diagnostic setting, Bedos believes that his
inclusion criteria were logical and well-suited to the
patients in whom altered consciousness and convulsions were
the two primary neurological reasons for hospital admission.
Patients with isolated neurological disorders--such as
aphasia, hemiparesis, and hemianopsia--who were not part of
the group of patients admitted to the ICU with altered
consciousness were not the focus of the study. Bedos
concludes that, while nonspecific, the term "neurological
failure" can be appropriate inclusion criterion for prognostic
studies of HIV-positive patients admitted to ICUs.