Article
Medicine, General & Internal
Maria Caruana, Sophie Noelle Hackenbruch, Victor Grech, Ruth Farrugia
Summary: This study aims to evaluate the application of GCS by medical and nursing staff in pediatric patients. The results show poor overall performance, with only respondents with 5-10 years of experience achieving acceptable consistency in the application of GCS.
MEDICAL PRINCIPLES AND PRACTICE
(2023)
Article
Multidisciplinary Sciences
Timo Iirola, Johannes Bjorkman, Mikael Laaksonen, Jouni Nurmi
Summary: Different variants of the shock index have varying predictive values for 30-day mortality in pre-hospital critical care settings, with the SIA/G variant showing the highest predictive ability.
SCIENTIFIC REPORTS
(2022)
Article
Public, Environmental & Occupational Health
Mikio Nakajima, Yohei Okada, Tomohiro Sonoo, Tadahiro Goto
Summary: This study developed and validated a novel method for converting the Japan Coma Scale (JCS) to the Glasgow Coma Scale (GCS). The concordance rate between JCS and GCS was over 90% in the general adult patient population, providing assistance for researchers in converting scores.
JOURNAL OF EPIDEMIOLOGY
(2022)
Article
Critical Care Medicine
Marina L. Reppucci, Shannon N. Acker, Emily Cooper, Maxene Meier, Jenny Stevens, Ryan Phillips, Steven L. Moulton, Denis D. Bensard
Summary: The study found that the reverse shock index multiplied by the Glasgow Coma Scale performs better than traditional indicators in predicting the need for early interventions in pediatric trauma patients. It provides a more comprehensive assessment of the patient's neurological status and is highly useful for rapidly identifying pediatric patients who require early intervention and higher levels of care.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)
Article
Medicine, General & Internal
In-Suk Bae, Hyoung-Joon Chun, Kyu-Sun Choi, Hyeong-Joong Yi
Summary: The study proposed a new scoring system, the GCS-F score, combining GCS and mFS, for predicting outcomes and vasospasm occurrence in aSAH patients, which was more detailed than other single scales.
Review
Clinical Neurology
Iris E. Hunt, Blake E. Wittenberg, Brooke Kennamer, Clifford L. Crutcher, Gabriel C. Tender, John P. Hunt, Anthony M. DiGiorgio
Summary: The study found that there are significant differences between the immediate GCS score recorded after trauma and later recorded scores, which greatly alters the calculated probability of survival using TRISS methodology. Further research is needed to investigate the optimal timing of GCS score recording or changes in GCS score and their impact on survival.
WORLD NEUROSURGERY
(2022)
Review
Health Care Sciences & Services
Myeong Namgung, Jaehoon Oh, Chiwon Ahn, Chan Woong Kim, Heekyung Lee, Hyunggoo Kang
Summary: A meta-analysis was conducted to investigate the association between a low Glasgow Coma Scale (GCS) score in cases of early carbon monoxide (CO) poisoning and the development of delayed neurologic sequelae. The results showed that patients with a low GCS score had a significantly higher risk of delayed neurologic sequelae. GCS was found to be a quick, easy, and accurate method for predicting delayed neurologic sequelae and guiding treatment strategies.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Neurosciences
Yingxin Lin, Sheng Zhang, Weixing Zhang, Xinxin Wang, Lei Huang, Hua Luo
Summary: The study externally validated GCS-P in 4372 neurocritical patients, finding that it showed good discrimination and moderate calibration in predicting mortality, and performed better than GCS and its derivatives in terms of predictive performance.
Article
Medicine, General & Internal
Lan Chen, Liyun Lu, Yuan Fang, Jingnan Ren, Xiaoling Yang, Zhumei Gong, Yuping Zhang, Xiuqin Feng
Summary: This study found that the initial Glasgow Coma Scale (GCS) score is an independent predictor of neurological sequelae at discharge in patients with heatstroke (HS), and rapid cooling plays a positive role in this relationship.
POSTGRADUATE MEDICAL JOURNAL
(2023)
Article
Nursing
Emine Ezgi Ozcelik, Selda Celik
Summary: This study compared the use of the Turkish versions of GCS and FOUR Score in neurological evaluation by intensive care nurses, showing very good agreement and reliability between the two scales, indicating their suitability for use in the ICU setting.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Emergency Medicine
Heather Bick, Tarik Wasfie, Virginia Labond, Jennifer R. Hella, Eric Pearson, Kimberly R. Barber
Summary: The study found that age, GCS, and mode of injury play important roles in leveling trauma patients, especially in elderly patients with traumatic head injury. Age is an independent predictor of mortality and length of stay in these patients.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Review
Surgery
Jitin Bajaj, Yadram Yadav, Dhananjaya Sharma
Summary: The Glasgow coma scale, which has been used for nearly five decades, has undergone several modifications based on different parameters such as age, pupils, and brainstem reflexes. This article systematically reviewed the modifications of the Glasgow coma scale in the English literature by searching PubMed and Scopus. A total of 54 eligible articles were found out of 5718 search results, and the modifications included age, brainstem reflexes, motor score alone, serum factors, etc. Some modifications, such as the pediatric Glasgow coma score and the Full Outline of Unresponsiveness score, hold promise.
INDIAN JOURNAL OF SURGERY
(2023)
Article
Multidisciplinary Sciences
Ari Ercole, Abhishek Dixit, David W. Nelson, Shubhayu Bhattacharyay, Frederick A. Zeiler, Daan Nieboer, Omar Bouamra, David K. Menon, Andrew I. R. Maas, Simone A. Dijkland, Hester F. Lingsma, Lindsay Wilson, Fiona Lecky, Ewout W. Steyerberg
Summary: This study evaluated the impact of different imputation strategies on traumatic brain injury prediction models and found that simple substitution strategies can perform well in many cases, potentially serving as a simple alternative to full multiple imputation.
Article
Critical Care Medicine
Yelena G. Bodien, Alice Barra, Nancy R. Temkin, Jason Barber, Brandon Foreman, Mary Vassar, Claudia Robertson, Sabrina R. Taylor, Amy J. Markowitz, Geoffrey T. Manley, Joseph T. Giacino, Brian L. Edlow
Summary: The study found that the Glasgow Coma Scale (GCS) total score may not accurately reflect level of consciousness and various Disorders of Consciousness (DoC) diagnoses could be associated with different GCS total scores. To improve classification of traumatic brain injury (TBI) patients and inform future clinical trials, clinicians and investigators should consider individual subscale behaviors and more comprehensive assessments when evaluating TBI severity.
JOURNAL OF NEUROTRAUMA
(2021)
Article
Emergency Medicine
Clemens Weber, Joakim Stray Andreassen, Maziar Behbahani, Kenneth Thorsen, Kjetil Soreide
Summary: The aim of this study was to explore the characteristics, imaging findings, short-term clinical outcomes, and time trends of moderate and severe traumatic brain injury in severely injured children. The study found that severe traumatic brain injury in children still had a high mortality rate and a low proportion of patients had a favorable short-term clinical outcome. In contrast, moderate traumatic brain injury resulted in favorable clinical outcomes.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)