![]() Error bars show 95% confidence intervals. Mortality 6 months after head injury (left) and unfavourable outcomes (right) according to patient GCS-P score at admission. There was a continuous, fundamentally smooth, relationship between the combined GCS –P Score and mortality or failure to achieve an independent outcome.įigure 1. Impairment of pupil reactivity was associated with a worsening of outcome across the range of GCS Scores. The relationship between the combination of GCS Score and pupil score, and severity of a head injury as reflected in outcome, was examined in information on 15,900 patients drawn from the two largest available data sets (IMPACT and CRASH). The GCS-P is calculated by subtracting the Pupil Reactivity Score (PRS) from the Glasgow Coma Scale (GCS) total score: The Pupil Reactivity Score summarises Information about loss of pupil reactivity to light and is calculated as follows. Further information on the GCS Score can be accessed here. The GCS Score is derived by assigning notation to the level in each of the three subcomponents of the GCS and summing the results of a patient’s assessment. 1-3 In response, the GCS Pupils Score (GCS-P) was constructed to bring together information about a patient’s responsiveness as reflected in the GCS Score and the pupil reaction 4( Link). Nevertheless, there have been views that indices or scores that combine an assessment of ‘conscious level’ and ‘brain stem’ function may have a useful place. ![]() When it was described, features of focal dysfunction such as brainstem signs were not incorporated and instead were intended to be assessed separately. The Glasgow Coma Scale provides a clinical index of the ‘overall’ acute impairment of brain function, or so called ‘conscious level’. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |