The authors evaluated auditory evoked steady state rest potentials at
40 Hz (SSR40Hz) in 21 post-trauma coma patients and compared their pre
dictive value for prognosis of survival and quality of life with the r
esults of the electroencephalogram (EEG), the computed tomography (CT)
scan, and the Glasgow Coma Scale. SSR40Hz potentials recorded immedia
tely after trauma had a maximum (100%) sensibility and specificity for
a fatal prognosis and a high value for life prognosis. Consequently t
hey appear to be a useful parameter for deciding on organ explant proc
edures. The EEG was more reliable in predicting a quality of life prog
nosis.