Initial Emergency Department Trauma Scores from the OPALS Study: The Case for the Motor Score in Blunt Trauma

Alsalamah, Majid; McDowell, Ian; Stiell, Ian G.; Wells, George A.; Perry, Jeff; Alsultan, Mohammed S.; Nesbitt, Lisa

doi:10.1111/j.1553-2712.2004.tb00764.x

Cited by 27 publications

(13 citation statements)

References 33 publications

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“…They assessed three methods of dealing with the verbal scoring of an aphasic patient: (1) eliminating the verbal component, (2) pseudoscoring with '1', and (3) median value substitution of the other components. Their data agrees with others' data [48][49][50][51][52][53][54], that the motor and eye components alone can accurately substitute for a complete GCS where the eye and motor subscale had 87% accuracy compared to 88% for the model with eye, motor, and verbal scale.…”

Section: Limitationssupporting

confidence: 92%

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Evaluation of Coma: A Critical Appraisal of Popular Scoring Systems

Kornbluth

Bhardwaj

2010

Neurocrit Care

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Numerous scoring scales have been proposed and validated to evaluate coma for rapid pre-hospital assessment and triage, disease severity, and prognosis for morbidity and mortality. These scoring systems have been predicated on core features that serve as a basis for this review and include ease of use, inter-rater reliability, reproducibility, and predictive value. Here we review the benefits and limitations of the most popular coma scoring systems. The methods include search of Medline, databases, and manual review of article bibliographies. Few of the many available coma scales have gained widespread approval and popularity. The best known and widely accepted scale is the Glasgow Coma Scale (GCS). The Reaction Level Scale (RLS85) has utility and proven benefit, but little acceptance outside of Scandinavia. The newer Full Outline of UnResponsiveness (FOUR) score provides an attractive replacement for all patients with fluctuating levels of consciousness and is gradually gaining wide acceptance.

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Section: Limitationssupporting

confidence: 92%

“…Previous work has been reported using linear regression analysis to predict GCS verbal scores from motor and eye subscores [51,52]. These studies have proved the extrapolation of the verbal subscore from the eye and motor components to be applicable to alterations of consciousness due to traumatic and non-traumatic etiologies [53].…”

Section: Limitationsmentioning

confidence: 99%

Evaluation of Coma: A Critical Appraisal of Popular Scoring Systems

Kornbluth

Bhardwaj

2010

Neurocrit Care

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“…Zu diesem Zwecke darf der initiale GCS am Unfallort als maßgebend erachtet werden. Die Autoren fanden, dass für den initialen Triage die motorische Komponente alleine von gleichwertiger Aussagekraft ist, wie der gesamte GCS [3]. Dies erleichtert und beschleunigt das Triage-Verfahren und löst das Problem der oft nicht eindeutig testbaren verbalen und okulären Reaktion.…”

Section: Prädiktiver Wert Des Glasgow Coma Scoresunclassified

“…In neueren Arbeiten kristallisiert sich eine insgesamt bessere Korrelation zwischen dem motorischen Score und dem Outcome heraus [24]. [3].…”

Section: Prognostischer Wert Der Einzelnen Parameterunclassified

Glasgow Coma Score f�r den Patienten mit Sch�del-Hirn-Trauma

2004

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Even 30 years after its first publication the Glasgow Coma Scale (GCS) is still used worldwide to describe and assess coma. The GCS consists of three components, the ocular, motor and verbal response to standardized stimulation, and is used as a severity of illness indicator for coma of various origins. The GCS facilitates information transfer and monitoring changes in coma. In addition, it is used as a triage tool in patients with traumatic brain injury. Its prognostic value regarding the outcome after a traumatic brain injury still lacks evidence. One of the main problems is the evaluation of the GCS in sedated, paralysed and/or intubated patients. A multitude of pseudoscores exists but a universal definition has yet to be defined.

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“…respiratory rate, systolic blood pressure and Glasgow Coma Scale (GCS) and divides patients into four groups (Rehn et al, 2011;Lichtveld et al, 2008;Paravar et al, 2013). It has been used in several studies and is reliable in determining patient`s status (Al-Salamah et al, 2004). However, there are different studies available regarding triage and categorizing patients and every study adopts a different approach for this purpose.…”

Section: Review Of Literature and Previous Researchmentioning

confidence: 99%