Comparison of Glasgow Coma Scale
, Full Outline of Unresponsiveness and Acute Physiology and Chronic Health Evaluation in prediction of mortality rate among patients with traumatic brain injury admitted to intensive care unit.
of patients 62 Age 38.6 Sex Male 52 (84) Female 10 (16) GCS 14 Mechanism of injury MVA 21 (34) Diving 12 (19) Fall 18 (29) Blunt trauma/Sports 5 (8) Unknown 6 (10) Level of injury C1-C2 7 (11) C3-C5 30 (49) C6-C7 25 (40) AIS score A 20 (32) B 11 (18) C 14 (23) D 17 (27) Spinal shock 18 (29) Respiratory failure 17 (27) GCS: Glasgow Coma Scale
; MVA: motor vehicle accident; AIS: American Spinal Injury Association Impairment Scale Table 2.
The Glasgow Coma Scale
(GCS) was first introduced in 1974 to assess coma and impaired consciousness in traumatic brain injury (TBI). Although the GCS is widely applied in daily clinical practice, several limitations have been identified, such as an inability to accurately assess intubated patients and difficulty in assessing aphasic patients or aphonic patients due to the requirement of a verbal component.
Problems with initial Glasgow Coma Scale
assessment caused by pre-hospital treatment of patients with head injuries: results of a national survey.
The use of a validated and well-known instrument to evaluate neurological functioning, such as the Glasgow Coma Scale
, provides a reliable assessment of CNS impairment and its progression over time.
The Glasgow Coma Scale
was established and is still in use by neurologists in more than 80 countries around the world.
Patient name, gender, date of surgery, surgeon's title, academic or non-academic, type of treatment (NOM, partial splenectomy, or total splenectomy (TS)), admission and discharge date, duration of surgery, referral status from outside hospitals, intensive care unit (ICU) requirement, Glasgow Coma Scale
(GCS), number of transfusions such as erythrocyte suspension (ES) and fresh frozen plasma (FFP), and injuries other than the spleen were recorded in an electronic database system.
The glasgow coma scale
(GCS) score has been the main scalre used for evaluating impaired consciousness.
Other data collected included time and date of the event as well as time between diagnosis and reversal, whether the patient was transferred from another institution and the institution the patient was admitted to, Glasgow Coma Scale
category on presentation, ICH scale, National Institutes of Health Stroke Scale, and withdrawal of treatment and resuscitation status.
PATIENT COHERENCEbrNurses who accompanied Ms Wahome said lack of tagging in certain situations can lead to confusion.At the same time, the team of medics in the theatre said that based on a medical scale (Glasgow Coma Scale
) used to measure coherence of patients, at the time of preparing the patient for surgery, he was not coherent.
Relationship between Glasgow Coma scale
and functional outcome.
ONSD for each eye on the initial CT scan and Glasgow Coma Scale
(GCS) was measured upon patient presentation.