scholarly journals ACUTE METHANOL POISENING: PROGNOSTIC FACTORS AND ROLE OF GLASGOW COMA SCALE

2018 ◽  
Vol 18 (4) ◽  
pp. 47-57
Author(s):  
Ghada Mansour ◽  
Mohamed AGLAN ◽  
mahmoud Abd Elwahab
Keyword(s):  
Prognostic Factors ◽  
Glasgow Coma Scale ◽  
Coma Scale

scholarly journals Clinical indicators as prognostic factors of multi-trauma patients in the Intensive Care Unit

2021 ◽  
Vol 7 (4) ◽  
pp. 206
Author(s):  
Despoina Agorogianni ◽  
Eleni Michalopoulos ◽  
Ariadni Prantzou ◽  
Chara Liaskou ◽  
Angeliki Stamou ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Prognostic Factors ◽  
Glasgow Coma Scale ◽  
Apache Ii ◽  
Trauma Patients ◽  
Multiple Logistic Regression ◽  
Clinical Indicators ◽  
Coma Scale ◽  
Saps Ii

Background: In recent years, there has been a growing interest in understanding the role of prognostic factors in patient outcome.Aim: To investigate the role of clinical indicators, and severity-of-disease assessment scales, as prognostic factors in the outcome of multi-trauma patients in the ICU.Material and Method: The sample consisted of 65 ICU multi-trauma patients treated in a hospital in Thessaloniki city, with an average stay of 16.5 days. Clinical indicators such as Glasgow Coma Scale, heart rate, mean arterial pressure, lactic acid, hemoglobin, urine output, as well as APACHE II and SAPS II scales, were recorded on the day of admission to the ICU.Data analysis: Data were analyzed using multiple logistic regression and Mann-Whitney Test. Multiple logistic regression analysis was performed to examine the predictive capacity of specific indicators on patient outcome.Results: The results of the analysis showed that in cases where all clinical indicators changed, then patient outcome may be affected by 79,4% (Relative Risk 3.846, p<0.001). Glasgow Coma Scale (p=0.022) and hemoglobin (p=0.013) were the strongest influencing factors related to patient outcome. Mann-Whitney analysis was used to evaluate the predictive value of Apache II and SAPS II and demonstrated that both systems could significantly predict patient outcome (APACHE II=0.019 and SAPS II=0.013).Conclusion: Hemoglobin and Glasgow Coma Scale values upon multi-trauma patient admission to the ICU appear to be strong prognostic factors of patient outcome.

scholarly journals Correlation of risk factors with Glasgow coma scale to predict the severity and outcome of children with non-traumatic coma

2019 ◽  
Vol 6 (4) ◽  
pp. 1524
Author(s):  
A. Manikanteswara Reddy ◽  
G. Sreedhar ◽  
Gangadhar B. Belavadi
Keyword(s):  
Glasgow Coma Scale ◽  
Hospital Admissions ◽  
Good Prognosis ◽  
Cns Infection ◽  
Coma Scale ◽  
The Family ◽  
Probability Of Death ◽  
Traumatic Coma ◽  
Gcs Score

Background: Non-traumatic coma is the problem of pediatric group, accounts 10-15% in hospital admissions. Assessment of the severity of coma is useful to speculate the survival. The aim was to assess outcome in pediatric non-traumatic coma with role of Glasgow coma scale and modified Glasgow coma scale.Methods: Total of 80 cases of non-traumatic coma between 1 month to 12 years, coma severity was assessed by using Glasgow coma scale. A score of less than 8 and more than 8 were used for analysis of outcome.Results: The maximum number of patents with non-traumatic coma were in the age group of 1 month-5 years, 40 children (50%). On neurological examination 42 (52.5%) children has GCS score of >8, 38 cases (47.5%) has GCS <8, 20 children had meningeal signs, 7 children had cranial nerve deficit (7th nerve), 9 children had decebrate posture. Out of 80 cases, 8 cases expired (10%), 4 cases were discharged against medical advice (4%), 68 cases were improved and discharged (85%), among these, 8 cases were discharged with complication (11.7%). Overall mortality was (10%) (8/80), males outnumbered females in frequency with ratio of 1.28:1. CNS infection accounted for almost about 66%.Conclusions: Children with GCS and MGCS scores of less than 8 have poor prognosis and a very high probability of death. Those with GCS score of more than 8 have good prognosis. Identification of these cases at the outset can help prepare the treating physician to plan critical care referral and to give a preliminary assessment of outcome to the family.

scholarly journals Outcome and Prognostic Factors in Head Injuries With an Admission Glasgow Coma Scale Score of 3

2004 ◽  
Vol 139 (10) ◽  
pp. 1066 ◽  
Author(s):  
Demetrios Demetriades ◽  
Eric Kuncir ◽  
George C. Velmahos ◽  
Peter Rhee ◽  
Kathy Alo ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Glasgow Coma Scale ◽  
Scale Score ◽  
Glasgow Coma Scale Score ◽  
Head Injuries ◽  
Coma Scale ◽  
Admission Glasgow Coma Scale

Role of modified Glasgow coma scale to predict outcome in nontraumatic coma

2019 ◽  
Vol 10 (3) ◽  
pp. 78-82
Author(s):  
Pankaj V Barabde ◽  
◽  
Pratibha V Kale ◽  
Keyword(s):  
Glasgow Coma Scale ◽  
Coma Scale ◽  
Nontraumatic Coma

scholarly journals Outcome and Prognostic Factors in Patients with Chronic Subdural Hematoma Classified According to the Initial Glasgow Coma Scale Score

The Nerve ◽  
2017 ◽  
Vol 3 (2) ◽  
pp. 25-31 ◽  
Author(s):  
Tae Hyeong Kim ◽  
Eun Suk Park ◽  
Jun Bum Park ◽  
Soon Chan Kwon ◽  
In Lyo ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Glasgow Coma Scale ◽  
Scale Score ◽  
Subdural Hematoma ◽  
Glasgow Coma Scale Score ◽  
Chronic Subdural Hematoma ◽  
Coma Scale

scholarly journals MENINJAU KEMBALI GLASGOW COMA SCALE: MASIHKAH RELEVAN?

2019 ◽  
Vol 36 (3) ◽  
Author(s):  
Arthur Hendrik Philips Mawuntu
Keyword(s):  
Head Injury ◽  
Glasgow Coma Scale ◽  
Large Scale ◽  
Evaluation Methods ◽  
Cutting Edge ◽  
Coma Scale ◽  
Injury Management ◽  
Neurological Conditions ◽  
Degree Of Severity

REVISITING THE GLASGOW COMA SCALE: IS IT STILL RELEVANT?ABSTRACTGlasgow Coma Scale (GCS) is the most popular quantitative assesment of consciousness. Its popularity is gained by the simplicity of the assessment making the scale easy to be performed by medical officers from various background. Glasgow Coma Scale was rapidly adopted worldwide since its first publication in 1974. The wide adoption of the scale has affected the improvement of head injury management as well as other neurological conditions. Furthermore, many large scale studies about head injury have used this scale to evaluate degree of severity and prognosis. After more than 40 years, GCS has underwent various critisms and modifications. The last modification was published on 2014. Some cutting edge devices and new evaluation methods have been introduced in the last two decades that, probably, reduced the role of GCS. However, GCS still seems to be relevant in evaluating patients’clinical condition periodically, therefore we need to understand the development of GCS, its relevance in the present, and some modification of GCS.Keywords: Glasgow Coma Scale, history, relevanceABSTRAKGlasgow Coma Scale (GCS) atau Skala Koma Glasgow (SKG) adalah metode penilaian kuantitatif kesadaran yang paling popular. Popularitasnya justru disebabkan oleh kesederhanaan metode penilaiannya, sehingga mudah dikerjakan oleh petugas kesehatan dari berbagai latar belakang. Glasgow Coma Scale diadopsi dengan cepat di seluruh dunia setelah dipublikasikan pertama kali pada tahun 1974. Hal ini berdampak secara luas pada perbaikan manajemen cedera kepala dan penyakit neurologis lain, serta berbagai penelitian. Setelah lebih dari 40 tahun, skala ini melewati berbagai kritik dan modifikasi, yaitu terakhir pada tahun 2014. Berbagai alat pemeriksaan canggih dan metode penilaian baru telah diperke- nalkan dalam dua dekade terakhir sehingga mungkin mengurangi peran GCS. Meskipun demikian, masih digunakan untuk mengevaluasi keadaan klinis pasien secara berkala, sehingga perlu diketahui tentang perjalanan GCS, relevansinya di masa kini, serta beberapa modifikasi SKG.Kata kunci: Relevansi, sejarah, Skala Koma Glasgow  

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