Looking for an ideal coma scale: It is time to replace GCS

Faruq, Mohammad Omar

doi:10.3329/bccj.v2i1.19948

Cited by 2 publications

(9 citation statements)

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“…Sejak dipublikasikan pertama kali, GCS menjadi skala yang paling sering digunakan tidak hanya di kalangan spesialis saraf atau bedah saraf tetapi di luar bidang tersebut, walaupun memiliki beberapa keterbatasan. 1,3 Pertama, ada kecenderungan penilaian GCS lebih besar pada komponen motorik (skor 6) dibandingkan komponen verbal dan mata (skor 5 dan 4). Kedua, sebagian besar pasien yang mengalami koma terintubasi, sehingga komponen verbal tidak dapat dinilai dan kurang berguna pada 20-48% pasien.…”

Section: Glasgow Coma Scale (Gcs)unclassified

“…Penggunaan sedasi pada sebagian besar pasien-pasien di ruang intensif juga dapat mempengaruhi ketiga komponen GCS. [3][4][5] Sampai saat ini, GCS masih menjadi baku emas penilaian kesadaran pada semua populasi pasien. Sejumlah penelitian dilakukan untuk melakukan validasi atau usaha untuk memodifikasi skala ini dengan mengeliminasi respon mata dan verbal.…”

Section: Glasgow Coma Scale (Gcs)unclassified

“…Usahausaha sebelumnya yang dilakukan untuk memodifikasi ataupun menggantikan skala ini seringkali gagal karena belum ada skala yang dianggap cukup sederhana dan praktis dalam penggunaannya. 3,6 Komponen penilaian pada GCS Pada GCS terdapat 3 komponen yaitu pergerakan bola mata, verbal, dan pergerakan motorik yang dinilai dengan memberikan skor pada masing-masing komponen. Nilai total dari ketiga komponen berkisar antara 3-15, dengan nilai makin kecil semakin buruk prognosisnya.…”

Section: Glasgow Coma Scale (Gcs)unclassified

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Penilaian Kesadaran pada Anak Sakit Kritis: Glasgow Coma Scale atau Full Outline of UnResponsiveness score?

Dewi

2016

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Pemeriksaan neurologis tingkat kesadaran sangat penting untuk menilai secara komprehensif pasien anak sakit kritis, dan dapat memberikan informasi prognosis. Skala koma yang ideal seharusnya bersifat linear, reliabel, valid, dan mudah digunakan. Berbagai macam skala koma telah dikembangkan dan di validasi untuk mengevaluasi tingkat kesadaran secara cepat, menilai beratnya penyakit dan prognosis terhadap morbiditas dan mortalitas. Glasgow Coma Scale (GCS) merupakan alat pemeriksaan tingkat kesadaran yang paling sering digunakan dan dijadikan baku emas saat memvalidasi skala koma yang baru. GCS mempunyai keterbatasan karena pasien yang terintubasi tidak dapat dinilai komponen verbal sehingga memengaruhi hasil penilaian. FOUR Score dikembangkan untuk mengatasi berbagai keterbatasan yang dimiliki GCS. FOUR score lebih sederhana dan memberikan informasi yang lebih baik, terutama pada pasien-pasien yang terintubasi. Sari Pediatri 2016;17(5):401-6. Kata kunci: Glasgow Coma Scale, Full Outline of UnResponsiveness score, anak sakit kritis Review article Assessment of Consciousness in Critically Ill Children: Glasgow Coma Scale or Full Outline of UnResponsiveness Score? Rismala DewiNeurological evaluation of level of consciousness is very important to assess comprehensively in critically ill children, and may provide prognostic information. An ideal coma scale would be linear, reliable, valid, and easy to use. Various kinds of coma scale were developed and validated to rapidly evaluate level of consciousness, assess the severity of the disease and prognosis for morbidity and mortality. Glasgow Coma Scale (GCS) has remained as ''gold standard'' for assessing impaired consciousness, and it is frequently used to validate new coma scales. However, GCS has several shortcomings due to limitation to assess verbal component of intubated patients, thus may affect the results. FOUR Score was developed to overcome those limitations. Compared to GCS, FOUR score is simpler and provide better information, especially in intubated patients. Sari Pediatri 2016;17(5):401-6.

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Section: Glasgow Coma Scale (Gcs)unclassified

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Penilaian Kesadaran pada Anak Sakit Kritis: Glasgow Coma Scale atau Full Outline of UnResponsiveness score?

Dewi

2016

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“…Scales have also been constructed to standardize examination of the unconscious patients. It also allows the grading of an unconscious patient over time which would indicate changes in clinical condition so that outcome may be predicted (Faruq, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Up until 2005, when the FOUR Score Scale was then published by Mayo Clinic, several studies have been done comparing it to GCS. Mainly, the studies are done in Intensive Care Units (ICU) and made no mention of Emergency Departments (Faruq, 2014). Most studies are done in the United States, Iran, and India but not yet in the Philippines.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Awareness and Perception of Four Score Scale Versus Glasgow Coma Scale Tool Used Among Intubated Patients

Yglesias¹,

Suson²

2020

MJN

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Level of consciousness has always been part of the endorsement and/or data in the nurses notes. Commonly used in the practice is still the GCS. It has also been an observation that in different cases, even though the patients are awake, since they are intubated, verbal response is immediately scored as 1 which contributes to a low GCS score that is relative to a bad prognosis. Also, assessment for complex reflexes are left out which can entail a better assessment on LOC. Hence, this study aims to compare the assessment, awareness, and perception of nurses in different levels of expertise assigned in the emergency department on the level of consciousness of intubated patients using the FSS and GCS tools to hasten triage categorization. It utilized a quantitative, descriptive-comparative type of research conducted in a government hospital in Cebu City. Specifically, on the areas of Emergency Department and Non-Trauma, where the researcher has easier access to registered nurses who are taking care of intubated patients. The researcher utilized awareness and perception tools and the FSS and GCS where researcher used complete enumeration involving 32 nurses. In light with the findings of this study, this can be utilized through thorough introduction of the FSS by an expert and on how to utilize the tool.

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Looking for an ideal coma scale: It is time to replace GCS

Abstract: No Abstract AvailableDOI: http://dx.doi.org/10.3329/bccj.v2i1.19948 Bangladesh Crit Care J March 2014; 2 (1): 1-3

Cited by 2 publications

References 13 publications

Penilaian Kesadaran pada Anak Sakit Kritis: Glasgow Coma Scale atau Full Outline of UnResponsiveness score?

Penilaian Kesadaran pada Anak Sakit Kritis: Glasgow Coma Scale atau Full Outline of UnResponsiveness score?

Nurses’ Awareness and Perception of Four Score Scale Versus Glasgow Coma Scale Tool Used Among Intubated Patients

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